45D2153478 CLIA NUMBER - JACOB'S FAMILY PHARMACY

Laboratory Demographics

  • CLIA Code: 45D2153478
  • Facility Name: JACOB'S FAMILY PHARMACY
  • Facility Address: 2701 AUSTIN AVE
    BROWNWOOD, TX
    ZIP 76801
  • Facility Phone: 325 646-1100
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TIMOTHY JACOB
  • NPI Number: 1801232947
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2153478
LAB Type Pharmacy
Facility Name JACOB'S FAMILY PHARMACY
Street 2701 AUSTIN AVE
City BROWNWOOD
State TX
ZIP 76801
Phone 325 646-1100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/27/2024
Certificate Expiration Date 8/26/2026
Facility Type Pharmacy
Lab Director TIMOTHY JACOB

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