45D0969476 CLIA NUMBER - MARKET STREET PHARMACY #526

Laboratory Demographics

  • CLIA Code: 45D0969476
  • Facility Name: MARKET STREET PHARMACY #526
  • Facility Address: 2530 SOUTH GEORGIA STREET
    AMARILLO, TX
    ZIP 79109
  • Facility Phone: 806 468-9911
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LISA ROBLES
  • NPI Number: 1669459558
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D0969476
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MARKET STREET PHARMACY #526
Street 2530 SOUTH GEORGIA STREET
City AMARILLO
State TX
ZIP 79109
Phone 806 468-9911
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/15/2024
Certificate Expiration Date 1/14/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director LISA ROBLES

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