45D2289893 CLIA NUMBER - GRACE RX PHARMACY

Laboratory Demographics

  • CLIA Code: 45D2289893
  • Facility Name: GRACE RX PHARMACY
  • Facility Address: 2239 NORTH MASON RD, SUITE 104
    KATY, TX
    ZIP 77449
  • Facility Phone: (281) 758-8179
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MAUREEN MAICAH
  • NPI Number: 1346976065
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2289893
LAB Type Pharmacy
Facility Name GRACE RX PHARMACY
Street 2239 NORTH MASON RD, SUITE 104
City KATY
State TX
ZIP 77449
Phone 2817588179
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2025
Certificate Expiration Date 9/17/2027
Facility Type Pharmacy
Lab Director MAUREEN MAICAH

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