45D1075227 CLIA NUMBER - HOMETOWN PHARMACY

Laboratory Demographics

  • CLIA Code: 45D1075227
  • Facility Name: HOMETOWN PHARMACY
  • Facility Address: 310 CHARLIE DRIVE
    WHITESBORO, TX
    ZIP 76273
  • Facility Phone: 903 564-1234
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RUSSELL J. PELTEL
  • NPI Number: 1972589836
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1075227
LAB Type Pharmacy
Facility Name HOMETOWN PHARMACY
Street 310 CHARLIE DRIVE
City WHITESBORO
State TX
ZIP 76273
Phone 903 564-1234
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2025
Certificate Expiration Date 10/15/2027
Facility Type Pharmacy
Lab Director RUSSELL J. PELTEL

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