45D0950064 CLIA NUMBER - MARTIN TIPTON PHARMACY LLC

Laboratory Demographics

  • CLIA Code: 45D0950064
  • Facility Name: MARTIN TIPTON PHARMACY LLC
  • Facility Address: 1501 SOUTH TYLER
    AMARILLO, TX
    ZIP 79101
  • Facility Phone: 806 373-2812
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MELISSA A. SMALLEY
  • NPI Number: 1487000931
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D0950064
LAB Type Pharmacy
Facility Name MARTIN TIPTON PHARMACY LLC
Street 1501 SOUTH TYLER
City AMARILLO
State TX
ZIP 79101
Phone 806 373-2812
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2024
Certificate Expiration Date 8/17/2026
Facility Type Pharmacy
Lab Director MELISSA A. SMALLEY

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