45D0955968 CLIA NUMBER - UNITED PHARMACY # 505

Laboratory Demographics

  • CLIA Code: 45D0955968
  • Facility Name: UNITED PHARMACY # 505
  • Facility Address: 401 SLIDE ROAD
    LUBBOCK, TX
    ZIP 79416
  • Facility Phone: 806 796-1895
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JONATHAN BAKER
  • NPI Number: 1659808434
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D0955968
LAB Type Pharmacy
Facility Name UNITED PHARMACY # 505
Street 401 SLIDE ROAD
City LUBBOCK
State TX
ZIP 79416
Phone 806 796-1895
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/14/2025
Certificate Expiration Date 1/13/2027
Facility Type Pharmacy
Lab Director JONATHAN BAKER

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