45D2148548 CLIA NUMBER - FABENS PHARMACY

Laboratory Demographics

  • CLIA Code: 45D2148548
  • Facility Name: FABENS PHARMACY
  • Facility Address: 1420 FABENS ROAD, SUITE B
    FABENS, TX
    ZIP 79838
  • Facility Phone: 915 764-2739
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STEVEN L. MOSHER
  • NPI Number: 1194236182
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2148548
LAB Type Pharmacy
Facility Name FABENS PHARMACY
Street 1420 FABENS ROAD, SUITE B
City FABENS
State TX
ZIP 79838
Phone 915 764-2739
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/14/2024
Certificate Expiration Date 5/13/2026
Facility Type Pharmacy
Lab Director STEVEN L. MOSHER

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