45D2123207 CLIA NUMBER - THE MEDICINE SHOPPE #708

Laboratory Demographics

  • CLIA Code: 45D2123207
  • Facility Name: THE MEDICINE SHOPPE #708
  • Facility Address: 1624 N TRAVIS STREET
    SHERMAN, TX
    ZIP 75092
  • Facility Phone: 903 892-9291
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOANNA L. BENNETT
  • NPI Number: 1568556876
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2123207
LAB Type Pharmacy
Facility Name THE MEDICINE SHOPPE #708
Street 1624 N TRAVIS STREET
City SHERMAN
State TX
ZIP 75092
Phone 903 892-9291
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 JOANNA L. BENNETT

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