45D2141363 CLIA NUMBER - LEONARD PHARMACY

Laboratory Demographics

  • CLIA Code: 45D2141363
  • Facility Name: LEONARD PHARMACY
  • Facility Address: 122 WEST COLLIN STREET
    LEONARD, TX
    ZIP 75452
  • Facility Phone: 903 587-3363
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HERBERT E. KEGANS
  • NPI Number: 1902892763
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2141363
LAB Type Pharmacy
Facility Name LEONARD PHARMACY
Street 122 WEST COLLIN STREET
City LEONARD
State TX
ZIP 75452
Phone 903 587-3363
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2023
Certificate Expiration Date 12/11/2025
Facility Type Pharmacy
Lab Director HERBERT E. KEGANS

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