45D2123879 CLIA NUMBER - UNITED PHARMACY #573

Laboratory Demographics

  • CLIA Code: 45D2123879
  • Facility Name: UNITED PHARMACY #573
  • Facility Address: 101 N WASHINGTON
    SEYMOUR, TX
    ZIP 76380
  • Facility Phone: 940 889-3622
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER DEGES
  • NPI Number: 1265447866
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2123879
LAB Type Pharmacy
Facility Name UNITED PHARMACY #573
Street 101 N WASHINGTON
City SEYMOUR
State TX
ZIP 76380
Phone 940 889-3622
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/5/2025
Certificate Expiration Date 1/4/2027
Facility Type Pharmacy
Lab Director CHRISTOPHER DEGES

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