45D2143146 CLIA NUMBER - MARKET STREET PHARMACY #685

Laboratory Demographics

  • CLIA Code: 45D2143146
  • Facility Name: MARKET STREET PHARMACY #685
  • Facility Address: 4268 LEGACY DRIVE
    FRISCO, TX
    ZIP 75034
  • Facility Phone: 214 705-0364
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RYCHLEND MARTIN-HORNE
  • NPI Number: 1124539531
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2143146
LAB Type Pharmacy
Facility Name MARKET STREET PHARMACY #685
Street 4268 LEGACY DRIVE
City FRISCO
State TX
ZIP 75034
Phone 214 705-0364
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/25/2024
Certificate Expiration Date 1/24/2026
Facility Type Pharmacy
Lab Director RYCHLEND MARTIN-HORNE

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