45D2067291 CLIA NUMBER - ABELDT ENTERPRISES INC DBA BRICKSTREET PHARMACY

Laboratory Demographics

  • CLIA Code: 45D2067291
  • Facility Name: ABELDT ENTERPRISES INC DBA BRICKSTREET PHARMACY
  • Facility Address: 314 WEST RUSK STREET
    TYLER, TX
    ZIP 75701
  • Facility Phone: 903 533-8155
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEFFREY V. ABELDT
  • NPI Number: 1407874936
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2067291
LAB Type Pharmacy
Facility Name ABELDT ENTERPRISES INC DBA BRICKSTREET PHARMACY
Street 314 WEST RUSK STREET
City TYLER
State TX
ZIP 75701
Phone 903 533-8155
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/11/2025
Certificate Expiration Date 10/10/2027
Facility Type Pharmacy
Lab Director JEFFREY V. ABELDT

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