45D2166553 CLIA NUMBER - RICHARD'S PHARMACY

Laboratory Demographics

  • CLIA Code: 45D2166553
  • Facility Name: RICHARD'S PHARMACY
  • Facility Address: 4630 SOUTH CLOSNER BLVD
    EDINBURG, TX
    ZIP 78539
  • Facility Phone: 956 289-1880
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMES OLIVAREZ
  • NPI Number: 1144666207
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2166553
LAB Type Physician Office
Facility Name RICHARD'S PHARMACY
Street 4630 SOUTH CLOSNER BLVD
City EDINBURG
State TX
ZIP 78539
Phone 956 289-1880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2025
Certificate Expiration Date 5/19/2027
Facility Type Physician Office
Lab Director JAMES OLIVAREZ

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