45D2264787 CLIA NUMBER - VMC GRACE, LLC DBA GATEWAY HEALTH SOLUTIONS

Laboratory Demographics

  • CLIA Code: 45D2264787
  • Facility Name: VMC GRACE, LLC DBA GATEWAY HEALTH SOLUTIONS
  • Facility Address: 921 E FM 1187 SUITE A100
    CROWLEY, TX
    ZIP 76036
  • Facility Phone: 817 984-7540
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MAGGIE MANKARIOUS
  • NPI Number: 1659045458
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2264787
LAB Type Pharmacy
Facility Name VMC GRACE, LLC DBA GATEWAY HEALTH SOLUTIONS
Street 921 E FM 1187 SUITE A100
City CROWLEY
State TX
ZIP 76036
Phone 817 984-7540
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/19/2024
Certificate Expiration Date 7/18/2026
Facility Type Pharmacy
Lab Director MAGGIE MANKARIOUS

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