45D1032765 CLIA NUMBER - TOM THUMB PHARMACY #4239

Laboratory Demographics

  • CLIA Code: 45D1032765
  • Facility Name: TOM THUMB PHARMACY #4239
  • Facility Address: 921 S WESTGATE WAY
    WYLIE, TX
    ZIP 75098
  • Facility Phone: 972 429-4951
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JULIANN SPIER
  • NPI Number: 1760420897
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1032765
LAB Type Pharmacy
Facility Name TOM THUMB PHARMACY #4239
Street 921 S WESTGATE WAY
City WYLIE
State TX
ZIP 75098
Phone 972 429-4951
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2025
Certificate Expiration Date 7/21/2027
Facility Type Pharmacy
Lab Director JULIANN SPIER

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