45D0953458 CLIA NUMBER - UNITED PHARMACY #521

Laboratory Demographics

  • CLIA Code: 45D0953458
  • Facility Name: UNITED PHARMACY #521
  • Facility Address: 2522 IOWA PARK ROAD
    WICHITA FALLS, TX
    ZIP 76306
  • Facility Phone: 940 322-1114
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GARY SCHULTZ
  • NPI Number: 1558409482
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D0953458
LAB Type Pharmacy
Facility Name UNITED PHARMACY #521
Street 2522 IOWA PARK ROAD
City WICHITA FALLS
State TX
ZIP 76306
Phone 940 322-1114
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2024
Certificate Expiration Date 11/2/2026
Facility Type Pharmacy
Lab Director GARY SCHULTZ

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