45D0993523 CLIA NUMBER - UNITED SUPERMARKETS #528

Laboratory Demographics

  • CLIA Code: 45D0993523
  • Facility Name: UNITED SUPERMARKETS #528
  • Facility Address: 1420 NORTH HOBART
    PAMPA, TX
    ZIP 79065
  • Facility Phone: 806 665-7642
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRENDA LEIGH
  • NPI Number: 1639156524
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D0993523
LAB Type Pharmacy
Facility Name UNITED SUPERMARKETS #528
Street 1420 NORTH HOBART
City PAMPA
State TX
ZIP 79065
Phone 806 665-7642
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2023
Certificate Expiration Date 11/15/2025
Facility Type Pharmacy
Lab Director BRENDA LEIGH

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