45D0939385 CLIA NUMBER - LIVE OAK PHARMACY

Laboratory Demographics

  • CLIA Code: 45D0939385
  • Facility Name: LIVE OAK PHARMACY
  • Facility Address: 3707 AUSTIN AVENUE
    BROWNWOOD, TX
    ZIP 76801
  • Facility Phone: 915 643-2648
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DENNIS HELBERT
  • NPI Number: 1689788671
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D0939385
LAB Type Pharmacy
Facility Name LIVE OAK PHARMACY
Street 3707 AUSTIN AVENUE
City BROWNWOOD
State TX
ZIP 76801
Phone 915 643-2648
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/17/2025
Certificate Expiration Date 3/16/2027
Facility Type Pharmacy
Lab Director DENNIS HELBERT

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