45D1054949 CLIA NUMBER - CLEBURNE DRUG

Laboratory Demographics

  • CLIA Code: 45D1054949
  • Facility Name: CLEBURNE DRUG
  • Facility Address: 310 N RIDGEWAY DR
    CLEBURNE, TX
    ZIP 76033
  • Facility Phone: 817 645-2415
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GARY B. WAITS
  • NPI Number: 1477705085
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 45D1054949
LAB Type Pharmacy
Facility Name CLEBURNE DRUG
Street 310 N RIDGEWAY DR
City CLEBURNE
State TX
ZIP 76033
Phone 817 645-2415
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/6/2024
Certificate Expiration Date 6/5/2026
Facility Type Pharmacy
Lab Director GARY B. WAITS

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