45D1100012 CLIA NUMBER - MARKET STREET PHARMACY #566

Laboratory Demographics

  • CLIA Code: 45D1100012
  • Facility Name: MARKET STREET PHARMACY #566
  • Facility Address: 1929 PRESTON ROAD
    PLANO, TX
    ZIP 75093
  • Facility Phone: 972 713-5515
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER SOLOMON
  • NPI Number: 1649410184
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1100012
LAB Type Pharmacy
Facility Name MARKET STREET PHARMACY #566
Street 1929 PRESTON ROAD
City PLANO
State TX
ZIP 75093
Phone 972 713-5515
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/28/2025
Certificate Expiration Date 5/27/2027
Facility Type Pharmacy
Lab Director CHRISTOPHER SOLOMON

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