45D2321212 CLIA NUMBER - SIMPLY GRACE

Laboratory Demographics

  • CLIA Code: 45D2321212
  • Facility Name: SIMPLY GRACE
  • Facility Address: 800 GREENHAVEN DR
    RICHARDSON, TX
    ZIP 75080
  • Facility Phone: 214 774-9808
  • Facility Type: Other - INTENSIVE OUTPATIENT
  • Facility Type: Waiver
  • Lab Director: HEATHER NOLAN
  • NPI Number: 1689175374
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2321212
LAB Type Other - INTENSIVE OUTPATIENT
Facility Name SIMPLY GRACE
Street 800 GREENHAVEN DR
City RICHARDSON
State TX
ZIP 75080
Phone 214 774-9808
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2025
Certificate Expiration Date 3/31/2027
Facility Type Other - INTENSIVE OUTPATIENT
Lab Director HEATHER NOLAN

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