45D2027184 CLIA NUMBER - SULLIVAN PHARMACY

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CLIA Record

Field Name Field Value
CLIA Number 45D2027184
LAB Type Pharmacy
Facility Name SULLIVAN PHARMACY
Street 1140 GRAND AVENUE
City BACLIFF
State TX
ZIP 77518
Phone 281 339-4577
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/28/2024
Certificate Expiration Date 12/27/2026
Facility Type Pharmacy
Lab Director JOE D. SULLIVAN

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