45D1032470 CLIA NUMBER - UNITED PHARMACY # 677

Laboratory Demographics

  • CLIA Code: 45D1032470
  • Facility Name: UNITED PHARMACY # 677
  • Facility Address: 1350 EAST 8TH STREET
    ODESSA, TX
    ZIP 79760
  • Facility Phone: 432 332-7361
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHAIKAT BANERJEE
  • NPI Number: 1316984743
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1032470
LAB Type Pharmacy
Facility Name UNITED PHARMACY # 677
Street 1350 EAST 8TH STREET
City ODESSA
State TX
ZIP 79760
Phone 432 332-7361
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 SHAIKAT BANERJEE

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