CLIA lab
CLIA 45D0679831: Cook Children's Pediatrics Grapevine
Grapevine, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 45D0679831 belongs to Cook Children's Pediatrics Grapevine in Grapevine, TX.
Certificate of Waiver, effective May 26, 2025, expires May 25, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- May 26, 2025
- Certificate expiration
- May 25, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 5, 1993
- Facility type
- Physician office
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 45D0679831
- Lab name
- Cook Children's Pediatrics Grapevine
- Address
- 1625 Lancaster Drive Suite 120, Grapevine, TX 76051
- Phone
- (817) 347-2530
- Fax
- (817) 488-5096
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Cook Children's Pediatrics Grapevine in Grapevine?
45D0679831, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Cook Children's Pediatrics Grapevine hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 45D0679831 expire?
The CMS file lists May 25, 2027 as the certificate expiration date; the certificate took effect May 26, 2025.