45D2161696 CLIA NUMBER - MCMAHAN PHARMACY SERVICES, INC

Laboratory Demographics

  • CLIA Code: 45D2161696
  • Facility Name: MCMAHAN PHARMACY SERVICES, INC
  • Facility Address: 1503 WEST FRONT ST
    GOLDTHWAITE, TX
    ZIP 76844
  • Facility Phone: 325 648-2484
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL F. MCMAHAN
  • NPI Number: 1679134845
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2161696
LAB Type Pharmacy
Facility Name MCMAHAN PHARMACY SERVICES, INC
Street 1503 WEST FRONT ST
City GOLDTHWAITE
State TX
ZIP 76844
Phone 325 648-2484
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2025
Certificate Expiration Date 2/7/2027
Facility Type Pharmacy
Lab Director MICHAEL F. MCMAHAN

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