45D2123752 CLIA NUMBER - UNITED PHARMACY #578

Laboratory Demographics

  • CLIA Code: 45D2123752
  • Facility Name: UNITED PHARMACY #578
  • Facility Address: 505 S ACCESS RD
    CLYDE, TX
    ZIP 79510
  • Facility Phone: 325 893-4297
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSEPH YOUNG
  • NPI Number: 1932287737
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2123752
LAB Type Pharmacy
Facility Name UNITED PHARMACY #578
Street 505 S ACCESS RD
City CLYDE
State TX
ZIP 79510
Phone 325 893-4297
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/30/2024
Certificate Expiration Date 12/29/2026
Facility Type Pharmacy
Lab Director JOSEPH YOUNG

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