45D2124445 CLIA NUMBER - HEAL THE CITY

Laboratory Demographics

CLIA Number: 45D2124445

Facility Name: HEAL THE CITY

Facility Address:
609 S CAROLINA ST
AMARILLO, TX
ZIP 79106
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Facility Phone Number: 806 231-0364

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1184070096

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 45D2124445
LAB Type Community Clinic
Facility Name HEAL THE CITY
Street 609 S CAROLINA ST
City AMARILLO
State TX
ZIP 79106
Phone 806 231-0364
CertificateType 4
CertificateEffectiveDate 1/17/2023
CertificateExpirationDate 1/16/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024