45D0954192 CLIA NUMBER - UNITED PHARMACY # 506

Laboratory Demographics

  • CLIA Code: 45D0954192
  • Facility Name: UNITED PHARMACY # 506
  • Facility Address: 1701 50TH STREET
    LUBBOCK, TX
    ZIP 79412
  • Facility Phone: 806 747-3503
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HOLLIS HARLEY
  • NPI Number: 1811988330
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D0954192
LAB Type Pharmacy
Facility Name UNITED PHARMACY # 506
Street 1701 50TH STREET
City LUBBOCK
State TX
ZIP 79412
Phone 806 747-3503
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2024
Certificate Expiration Date 11/18/2026
Facility Type Pharmacy
Lab Director HOLLIS HARLEY

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