45D2173004 CLIA NUMBER - PRESTON ROAD PHARMACY

Laboratory Demographics

  • CLIA Code: 45D2173004
  • Facility Name: PRESTON ROAD PHARMACY
  • Facility Address: 6901 PRESTON RD
    DALLAS, TX
    ZIP 75205
  • Facility Phone: 214 521-9991
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARILYN M. PITTS
  • NPI Number: 1861405540
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2173004
LAB Type Pharmacy
Facility Name PRESTON ROAD PHARMACY
Street 6901 PRESTON RD
City DALLAS
State TX
ZIP 75205
Phone 214 521-9991
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/3/2023
Certificate Expiration Date 10/2/2025
Facility Type Pharmacy
Lab Director MARILYN M. PITTS

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