45D2144820 CLIA NUMBER - GATESVILLE DRUG CO LTD

Laboratory Demographics

  • CLIA Code: 45D2144820
  • Facility Name: GATESVILLE DRUG CO LTD
  • Facility Address: 2513 S STATE HIGHWAY 36
    GATESVILLE, TX
    ZIP 76528
  • Facility Phone: 254 865-2417
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KEVIN W. GEORGE
  • NPI Number: 1235636960
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 45D2144820
LAB Type Pharmacy
Facility Name GATESVILLE DRUG CO LTD
Street 2513 S STATE HIGHWAY 36
City GATESVILLE
State TX
ZIP 76528
Phone 254 865-2417
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/24/2024
Certificate Expiration Date 2/23/2026
Facility Type Pharmacy
Lab Director KEVIN W. GEORGE

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