45D2103090 CLIA NUMBER - UNITED PHARMACY #509

Laboratory Demographics

  • CLIA Code: 45D2103090
  • Facility Name: UNITED PHARMACY #509
  • Facility Address: 511 COLLEGE AVENUE
    LEVELLAND, TX
    ZIP 79336
  • Facility Phone: 806 894-7315
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TY GREGORY
  • NPI Number: 1043201593
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2103090
LAB Type Pharmacy
Facility Name UNITED PHARMACY #509
Street 511 COLLEGE AVENUE
City LEVELLAND
State TX
ZIP 79336
Phone 806 894-7315
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2025
Certificate Expiration Date 10/5/2027
Facility Type Pharmacy
Lab Director TY GREGORY

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