45D1079814 CLIA NUMBER - BEST VALUE HOMETOWN PHARMACY

Laboratory Demographics

  • CLIA Code: 45D1079814
  • Facility Name: BEST VALUE HOMETOWN PHARMACY
  • Facility Address: 1702 SANTA FE DRIVE
    WEATHERFORD, TX
    ZIP 76086
  • Facility Phone: 817 594-3435
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALICIA OLSON
  • NPI Number: 1295829505
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1079814
LAB Type Pharmacy
Facility Name BEST VALUE HOMETOWN PHARMACY
Street 1702 SANTA FE DRIVE
City WEATHERFORD
State TX
ZIP 76086
Phone 817 594-3435
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 ALICIA OLSON

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