45D2123205 CLIA NUMBER - THE MEDICINE SHOPPE #306

Laboratory Demographics

  • CLIA Code: 45D2123205
  • Facility Name: THE MEDICINE SHOPPE #306
  • Facility Address: 2713 W MORTON ST STE 103
    DENISON, TX
    ZIP 75020
  • Facility Phone: 903 463-3985
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KRISTIN E. GLEZMAN
  • NPI Number: 1659465961
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2123205
LAB Type Pharmacy
Facility Name THE MEDICINE SHOPPE #306
Street 2713 W MORTON ST STE 103
City DENISON
State TX
ZIP 75020
Phone 903 463-3985
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2024
Certificate Expiration Date 12/13/2026
Facility Type Pharmacy
Lab Director KRISTIN E. GLEZMAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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