45D2056895 CLIA NUMBER - TOM THUMB PHARMACY #3641

Laboratory Demographics

  • CLIA Code: 45D2056895
  • Facility Name: TOM THUMB PHARMACY #3641
  • Facility Address: 3411 CUSTER PARKWAY
    RICHARDSON, TX
    ZIP 75080
  • Facility Phone: 972 470-1372
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JULIANN SPIER
  • NPI Number: 1962433789
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2056895
LAB Type Pharmacy
Facility Name TOM THUMB PHARMACY #3641
Street 3411 CUSTER PARKWAY
City RICHARDSON
State TX
ZIP 75080
Phone 972 470-1372
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/4/2025
Certificate Expiration Date 4/3/2027
Facility Type Pharmacy
Lab Director JULIANN SPIER

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This page was last updated on: 6/4/2025