45D1032376 CLIA NUMBER - MARKET STREET PHARMACY #679

Laboratory Demographics

  • CLIA Code: 45D1032376
  • Facility Name: MARKET STREET PHARMACY #679
  • Facility Address: 4450 BUFFALO GAP ROAD
    ABILENE, TX
    ZIP 79606
  • Facility Phone: 325 695-4690
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BARBARA TINER
  • NPI Number: 1013954452
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1032376
LAB Type Pharmacy
Facility Name MARKET STREET PHARMACY #679
Street 4450 BUFFALO GAP ROAD
City ABILENE
State TX
ZIP 79606
Phone 325 695-4690
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2024
Certificate Expiration Date 2/6/2026
Facility Type Pharmacy
Lab Director BARBARA TINER

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