45D2009078 CLIA NUMBER - COMMUNITY CARE PHARMACY

Home > CLIA Lookup > 45D2009078

Laboratory Demographics

CLIA Number: 45D2009078

Facility Name: COMMUNITY CARE PHARMACY

Facility Address:
1301 JUSTIN ROAD, SUITE 212
LEWISVILLE, TX
ZIP 75077
Get Directions

Facility Phone Number: 972 317-5599

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1396076253

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	45D2009078
LAB Type	Pharmacy
Facility Name	COMMUNITY CARE PHARMACY
Street	1301 JUSTIN ROAD, SUITE 212
City	LEWISVILLE
State	TX
ZIP	75077
Phone	972 317-5599
CertificateType	4
CertificateEffectiveDate	9/30/2022
CertificateExpirationDate	9/29/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024