45D2268417 CLIA NUMBER - GRACE VITALE WELLNESS

Laboratory Demographics

  • CLIA Code: 45D2268417
  • Facility Name: GRACE VITALE WELLNESS
  • Facility Address: 1400 N COIT RD SUITE 1102
    MCKINNEY, TX
    ZIP 75071
  • Facility Phone: 945 542-0218
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: KATHERINE G. EPPS
  • NPI Number: 1124763685
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2268417
LAB Type Practitioner Other
Facility Name GRACE VITALE WELLNESS
Street 1400 N COIT RD SUITE 1102
City MCKINNEY
State TX
ZIP 75071
Phone 945 542-0218
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/12/2024
Certificate Expiration Date 9/11/2026
Facility Type Practitioner Other
Lab Director KATHERINE G. EPPS

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