45D2248621 CLIA NUMBER - BY GRACE HOSPICE, LLC

Laboratory Demographics

  • CLIA Code: 45D2248621
  • Facility Name: BY GRACE HOSPICE, LLC
  • Facility Address: 9300 JOHN HICKMAN PKWY SUITE 205A
    FRISCO, TX
    ZIP 75035
  • Facility Phone: (214) 618-0307
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: VIVIAN V. POBLETE
  • NPI Number: 1447911573
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 45D2248621
LAB Type Hospice
Facility Name BY GRACE HOSPICE, LLC
Street 9300 JOHN HICKMAN PKWY SUITE 205A
City FRISCO
State TX
ZIP 75035
Phone 2146180307
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/14/2026
Certificate Expiration Date 1/13/2028
Facility Type Hospice
Lab Director VIVIAN V. POBLETE

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This page was last updated on: 5/18/2026