45D2164779 CLIA NUMBER - M & S PHARMACY

Laboratory Demographics

  • CLIA Code: 45D2164779
  • Facility Name: M & S PHARMACY
  • Facility Address: 917 E AUSTIN ST
    NACOGDOCHES, TX
    ZIP 75965
  • Facility Phone: 936 564-7373
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HANNAH F. PETERSON
  • NPI Number: 1386204717
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2164779
LAB Type Pharmacy
Facility Name M & S PHARMACY
Street 917 E AUSTIN ST
City NACOGDOCHES
State TX
ZIP 75965
Phone 936 564-7373
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/12/2025
Certificate Expiration Date 4/11/2027
Facility Type Pharmacy
Lab Director HANNAH F. PETERSON

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