45D2155741 CLIA NUMBER - GAIL'S PHARMACY

Laboratory Demographics

  • CLIA Code: 45D2155741
  • Facility Name: GAIL'S PHARMACY
  • Facility Address: 810 W W RAY CIRCLE
    BRIDGEPORT, TX
    ZIP 76426
  • Facility Phone: 940 683-4011
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EDWINA G. WALKER
  • NPI Number: 1881751287
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2155741
LAB Type Pharmacy
Facility Name GAIL'S PHARMACY
Street 810 W W RAY CIRCLE
City BRIDGEPORT
State TX
ZIP 76426
Phone 940 683-4011
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/3/2024
Certificate Expiration Date 10/2/2026
Facility Type Pharmacy
Lab Director EDWINA G. WALKER

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