GRACE AMBULATORY SURGERY CENTER LP
NPI 1083645006
Clinic/Center - Ambulatory Surgical in Lubbock, TX

Active since July 06, 2006CLIA 45D1059389 · Waiver
4515 MARSHA SHARP FWY, SUITE B, LUBBOCK, TX 79407(806) 740-8223 Get Directions Write a Review

NPPES record last updated: July 10, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Grace Ambulatory Surgery Center Lp NPPES

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

GRACE AMBULATORY SURGERY CENTER LP (NPI 1083645006) is a healthcare organization registered as an ambulatory surgical in Lubbock, Texas and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through September 27, 2026 and lists Dana B. Rains, Coo, as its authorized official.

NPPES Registry Identity

NPI1083645006
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameGRACE AMBULATORY SURGERY CENTER LP
Location Address4515 MARSHA SHARP FWY, SUITE BLubbock, TX 79407-2520
Mailing Address4515 Marsha Sharp Fwy, Suite BLubbock, TX 79407-2520 · (806) 740-8223
Organization SubpartNo
Authorized OfficialDana B. RainsCoo · (806) 740-3342
Enumeration DateJuly 6, 2006
Last NPPES UpdateJuly 10, 2007
NPI 1083645006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
4515 MARSHA SHARP FWY, Lubbock, TX 79407

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 45D1059389

Grace Ambulatory Surgery Center LP · Lubbock, TX
Active · expires Sep 27, 2026
CLIA Number45D1059389
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 28, 2024
Certificate Expiration DateSeptember 27, 2026
Laboratory DirectorRandall S. Hickle MD
Laboratory Phone(806) 740-8223
Laboratory LocationGrace Ambulatory Surgery Center LP4515 Marsha Sharp Freeway, Lubbock, TX 79407
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

Physician Assistant (Surgical)
4515 MARSHA SHARP FWY
LUBBOCK, TX 79407
Podiatrist (Foot & Ankle Surgery)
4515 MARSHA SHARP FWY
LUBBOCK, TX 79407
Internal Medicine (Cardiovascular Disease)
4515 MARSHA SHARP FWY
LUBBOCK, TX 79407
Pharmacist
4515 MARSHA SHARP FWY
LUBBOCK, TX 79407
Obstetrics & Gynecology (Gynecology)
4515 MARSHA SHARP FWY
LUBBOCK, TX 79407
Family Medicine
4515 MARSHA SHARP FWY
LUBBOCK, TX 79407
Obstetrics & Gynecology
4515 MARSHA SHARP FWY
LUBBOCK, TX 79407
Obstetrics & Gynecology (Gynecology)
4515 MARSHA SHARP FWY
LUBBOCK, TX 79407

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 LP's NPI number?

The NPI number for Grace Ambulatory Surgery Center LP is 1083645006. It was assigned to this organization in the NPPES registry on July 6, 2006.

Where is Grace Ambulatory Surgery Center LP located?

Grace Ambulatory Surgery Center LP is located at 4515 Marsha Sharp Fwy Suite B, Lubbock, TX 79407. The listed phone number is (806) 740-8223.

What is Grace Ambulatory Surgery Center LP'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 LP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1059389) is associated with this NPI, valid through September 27, 2026. 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 LP was last updated on July 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.