45D2159997 CLIA NUMBER - HYLANDS PHARMACY

Laboratory Demographics

CLIA Number: 45D2159997

Facility Name: HYLANDS PHARMACY

Facility Address:
108 W OKLAHOMA AVE
WHEELER, TX
ZIP 79096
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Facility Phone Number: 806 826-5561

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1063995280

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	45D2159997
LAB Type	Pharmacy
Facility Name	HYLANDS PHARMACY
Street	108 W OKLAHOMA AVE
City	WHEELER
State	TX
ZIP	79096
Phone	806 826-5561
CertificateType	4
CertificateEffectiveDate	1/2/2023
CertificateExpirationDate	1/1/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024