45D2162953 CLIA NUMBER - GRACE RACE PALLIATIVE HOSPICE LLC

Laboratory Demographics

  • CLIA Code: 45D2162953
  • Facility Name: GRACE RACE PALLIATIVE HOSPICE LLC
  • Facility Address: 13207 WATER OAK PARK CIRCLE
    CYPRESS, TX
    ZIP 77429
  • Facility Phone: 346 796-8150
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: INGRID LEAVITT
  • NPI Number: 1508346578
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 45D2162953
LAB Type Hospice
Facility Name GRACE RACE PALLIATIVE HOSPICE LLC
Street 13207 WATER OAK PARK CIRCLE
City CYPRESS
State TX
ZIP 77429
Phone 346 796-8150
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2025
Certificate Expiration Date 3/4/2027
Facility Type Hospice
Lab Director INGRID LEAVITT

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This page was last updated on: 9/29/2025