45D2057465 CLIA NUMBER - TTUHSC PHARMACY

Laboratory Demographics

  • CLIA Code: 45D2057465
  • Facility Name: TTUHSC PHARMACY
  • Facility Address: 3601 4TH ST MAIL STOP 7465 SUITE 1B300
    LUBBOCK, TX
    ZIP 79430
  • Facility Phone: 806 743-3270
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STEPHANIE WHITAKER
  • NPI Number: 1609810977
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2057465
LAB Type Pharmacy
Facility Name TTUHSC PHARMACY
Street 3601 4TH ST MAIL STOP 7465 SUITE 1B300
City LUBBOCK
State TX
ZIP 79430
Phone 806 743-3270
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/17/2025
Certificate Expiration Date 4/16/2027
Facility Type Pharmacy
Lab Director STEPHANIE WHITAKER

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This page was last updated on: 3/20/2025