45D2308093 CLIA NUMBER - GRAJON HEALTHCARE LLC

Laboratory Demographics

  • CLIA Code: 45D2308093
  • Facility Name: GRAJON HEALTHCARE LLC
  • Facility Address: 13407 PEACH ORCHARD LANE
    RICHMOND, TX
    ZIP 77407
  • Facility Phone: 832 886-4719
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MABEL O. IZEKOR
  • NPI Number: 1003670522
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D2308093
LAB Type Home Health Agency
Facility Name GRAJON HEALTHCARE LLC
Street 13407 PEACH ORCHARD LANE
City RICHMOND
State TX
ZIP 77407
Phone 832 886-4719
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2024
Certificate Expiration Date 7/21/2026
Facility Type Home Health Agency
Lab Director MABEL O. IZEKOR

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