45D2154463 CLIA NUMBER - POWERHOUSE PHARMACY RX, LLC

Laboratory Demographics

  • CLIA Code: 45D2154463
  • Facility Name: POWERHOUSE PHARMACY RX, LLC
  • Facility Address: 4740 W MOCKINGBIRD LN SUITE 100B
    DALLAS, TX
    ZIP 75209
  • Facility Phone: 214 350-2900
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NEHA PATEL
  • NPI Number: 1982104378
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2154463
LAB Type Pharmacy
Facility Name POWERHOUSE PHARMACY RX, LLC
Street 4740 W MOCKINGBIRD LN SUITE 100B
City DALLAS
State TX
ZIP 75209
Phone 214 350-2900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/13/2024
Certificate Expiration Date 9/12/2026
Facility Type Pharmacy
Lab Director NEHA PATEL

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