CLIA lab
CLIA 45D1052186: PMG Opco Grapevine, LLC
Grapevine, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 45D1052186 belongs to PMG Opco Grapevine, LLC in Grapevine, TX.
Certificate of Waiver, effective March 20, 2026, expires March 19, 2028.
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
- March 20, 2026
- Certificate expiration
- March 19, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 20, 2006
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Proprietary
- 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
- 45D1052186
- Lab name
- PMG Opco Grapevine, LLC
- Additional name
- DBA Grapevine Medical Lodge
- Address
- 1005 Ira E Woods Parkway, Grapevine, TX 76051
- Phone
- (817) 421-1313
- Fax
- (817) 328-1715
Annual test volume the lab reported
- Waived tests
- 21,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Grapevine Medical LodgeCMS Care Compare ratings for the facility at the same street address
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Related
Questions
What is the CLIA number for PMG Opco Grapevine, LLC in Grapevine?
45D1052186, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does PMG Opco Grapevine, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 45D1052186 expire?
The CMS file lists March 19, 2028 as the certificate expiration date; the certificate took effect March 20, 2026.