45D1097530 CLIA NUMBER - LYNN'S LAVEGA PHARMACY

Laboratory Demographics

  • CLIA Code: 45D1097530
  • Facility Name: LYNN'S LAVEGA PHARMACY
  • Facility Address: 2401 E WACO DRIVE
    WACO, TX
    ZIP 76705
  • Facility Phone: 254 799-4949
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STEPHEN MENARD
  • NPI Number: 1194201178
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1097530
LAB Type Pharmacy
Facility Name LYNN'S LAVEGA PHARMACY
Street 2401 E WACO DRIVE
City WACO
State TX
ZIP 76705
Phone 254 799-4949
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/29/2024
Certificate Expiration Date 5/28/2026
Facility Type Pharmacy
Lab Director STEPHEN MENARD

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