45D1032377 CLIA NUMBER - MARKET STREET PHARMACY # 674

Laboratory Demographics

  • CLIA Code: 45D1032377
  • Facility Name: MARKET STREET PHARMACY # 674
  • Facility Address: 4706 MIDKIFF ROAD *
    MIDLAND, TX
    ZIP 79705
  • Facility Phone: 432 699-7578
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: WLL TON YOUNGBLOOD
  • NPI Number: 1144267600
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1032377
LAB Type Pharmacy
Facility Name MARKET STREET PHARMACY # 674
Street 4706 MIDKIFF ROAD *
City MIDLAND
State TX
ZIP 79705
Phone 432 699-7578
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 WLL TON YOUNGBLOOD

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