45D2024115 CLIA NUMBER - DOUGHERTY'S PHARMACY, INC

Laboratory Demographics

  • CLIA Code: 45D2024115
  • Facility Name: DOUGHERTY'S PHARMACY, INC
  • Facility Address: 12835 PRESTON RD 202
    DALLAS, TX
    ZIP 75230
  • Facility Phone: 972 965-7455
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHAHRUM PAZOKI
  • NPI Number: 1578093183
  • Taxonomy: 3336L0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2024115
LAB Type Pharmacy
Facility Name DOUGHERTY'S PHARMACY, INC
Street 12835 PRESTON RD 202
City DALLAS
State TX
ZIP 75230
Phone 972 965-7455
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2024
Certificate Expiration Date 5/10/2026
Facility Type Pharmacy
Lab Director SHAHRUM PAZOKI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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