45D0953763 CLIA NUMBER - UNITED PHARMACY #516

Laboratory Demographics

  • CLIA Code: 45D0953763
  • Facility Name: UNITED PHARMACY #516
  • Facility Address: 4516 JACKSBORO HWY
    WICHITA FALLS, TX
    ZIP 76302
  • Facility Phone: 940 767-3368
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CASEY KING
  • NPI Number: 1184615544
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D0953763
LAB Type Pharmacy
Facility Name UNITED PHARMACY #516
Street 4516 JACKSBORO HWY
City WICHITA FALLS
State TX
ZIP 76302
Phone 940 767-3368
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/5/2024
Certificate Expiration Date 4/4/2026
Facility Type Pharmacy
Lab Director CASEY KING

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