45D0959236 CLIA NUMBER - BROWNFIELD CLINIC PHARMACY

Laboratory Demographics

CLIA Number: 45D0959236

Facility Name: BROWNFIELD CLINIC PHARMACY

Facility Address:
901 TAHOKA ROAD
BROWNFIELD, TX
ZIP 79316
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Facility Phone Number: 806 637-7049

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1902000821

Taxonomy: 251300000X - Local Education Agency (LEA)
The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy.

CLIA Record

Field Name	Field Value
CLIA Number	45D0959236
LAB Type	Pharmacy
Facility Name	BROWNFIELD CLINIC PHARMACY
Street	901 TAHOKA ROAD
City	BROWNFIELD
State	TX
ZIP	79316
Phone	806 637-7049
CertificateType	4
CertificateEffectiveDate	4/6/2023
CertificateExpirationDate	4/5/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024