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GRACE AMBULATORY SURGERY CENTER
NPI 1083229173
Clinic/Center - Ambulatory Surgical in Southlake, TX

Active since September 15, 2020CLIA 45D2212420 · Waiver
470 E STATE HIGHWAY 114, SOUTHLAKE, TX 76092(214) 450-9926 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 13, 2025, Jul 1, 2024, Sep 23, 2021 and 1 more (4 updates tracked since 2020).

About Grace Ambulatory Surgery Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRACE AMBULATORY SURGERY CENTER (NPI 1083229173) is a healthcare organization registered as an ambulatory surgical in Southlake, Texas and active in the NPI registry since September 2020. The organization holds a CLIA Waiver certificate valid through February 3, 2027 and lists Adnan Shaikh, Practice Consultant, as its authorized official.

NPPES Registry Identity

NPI1083229173
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameGRACE AMBULATORY SURGERY CENTER
Location Address470 E STATE HIGHWAY 114Southlake, TX 76092-4406
Mailing Address5995 Summerside Dr Unit 797947Dallas, TX 75379-0219 · (214) 390-7697 · Fax (972) 432-6692
Phone(214) 450-9926
Organization SubpartNo
Authorized OfficialAdnan ShaikhPractice Consultant · (972) 331-9048
Enumeration DateSeptember 15, 2020
Last NPPES UpdateMay 13, 20254 updates tracked since enumeration
NPPES CertifiedMay 13, 2025
✔ NPI 1083229173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
470 E STATE HIGHWAY 114, Southlake, TX 76092
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2212420

Grace Ambulatory Surgery Center · Southlake, TX
Active · expires Feb 3, 2027
CLIA Number45D2212420
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateFebruary 4, 2025
Certificate Expiration DateFebruary 3, 2027
Laboratory DirectorAmanda E. Covington
Laboratory Phone(214) 776-1166
Laboratory LocationGrace Ambulatory Surgery Center470 E State Hwy 114, Southlake, TX 76092
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GLOBAL ANESTHESIA SPECIALISTS, PLLC
Anesthesiology
470 E STATE HIGHWAY 114
SOUTHLAKE, TX 76092
Tarrant County (214) 450-9926
DFW PAIN CONSULTANTS, PLLC
Clinic/Center
470 E STATE HIGHWAY 114
SOUTHLAKE, TX 76092
Tarrant County (972) 331-9048
PEDIATRIC AMBULATORY SURGERY CENTER SOUTHLAKE
Clinic/Center (Ambulatory Surgical)
470 E STATE HIGHWAY 114
SOUTHLAKE, TX 76092
Tarrant County (817) 730-5437
PRESTIGE ANESTHESIA CONSULTANTS
Nurse Anesthetist, Certified Registered
470 E STATE HIGHWAY 114
SOUTHLAKE, TX 76092
Tarrant County (972) 331-9048
IVP, PLLC
Clinic/Center
470 E STATE HIGHWAY 114
SOUTHLAKE, TX 76092
Tarrant County (214) 450-9926
ELITE ANESTHESIA SPECIALISTS
Anesthesiology
470 E STATE HIGHWAY 114
SOUTHLAKE, TX 76092
Tarrant County (972) 331-9048
NORTH TEXAS PAIN INSTITUTE
Clinic/Center
470 E STATE HIGHWAY 114
SOUTHLAKE, TX 76092
Tarrant County (214) 915-2619
GREATER ANESTHESIA CONSULTANTS
Anesthesiologist Assistant
470 E STATE HIGHWAY 114
SOUTHLAKE, TX 76092
Tarrant County (214) 450-9926

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grace Ambulatory Surgery Center's NPI number?

The NPI number for Grace Ambulatory Surgery Center is 1083229173. It was assigned to this organization in the NPPES registry on September 15, 2020.

Where is Grace Ambulatory Surgery Center located?

Grace Ambulatory Surgery Center is located at 470 E State Highway 114, Southlake, TX 76092. The listed phone number is (214) 450-9926.

What is Grace Ambulatory Surgery Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Grace Ambulatory Surgery Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2212420) is associated with this NPI, valid through February 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Grace Ambulatory Surgery Center was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.