45D0972282 CLIA NUMBER - MINDFUL PHARMACY

Laboratory Demographics

  • CLIA Code: 45D0972282
  • Facility Name: MINDFUL PHARMACY
  • Facility Address: 2701 OSLER DRIVE STE 1
    GRAND PRAIRIE, TX
    ZIP 75051
  • Facility Phone: 972 647-2721
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RISA TYO
  • NPI Number: 1902945579
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D0972282
LAB Type Pharmacy
Facility Name MINDFUL PHARMACY
Street 2701 OSLER DRIVE STE 1
City GRAND PRAIRIE
State TX
ZIP 75051
Phone 972 647-2721
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/4/2024
Certificate Expiration Date 4/3/2026
Facility Type Pharmacy
Lab Director RISA TYO

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