45D2174040 CLIA NUMBER - QCP WYLIE, LLC

Laboratory Demographics

  • CLIA Code: 45D2174040
  • Facility Name: QCP WYLIE, LLC
  • Facility Address: 2300 W FM 544 SUITE 130
    WYLIE, TX
    ZIP 75098
  • Facility Phone: 972 442-5333
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JONATHAN C. GOODSON
  • NPI Number: 1558766576
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2174040
LAB Type Pharmacy
Facility Name QCP WYLIE, LLC
Street 2300 W FM 544 SUITE 130
City WYLIE
State TX
ZIP 75098
Phone 972 442-5333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/23/2023
Certificate Expiration Date 10/22/2025
Facility Type Pharmacy
Lab Director JONATHAN C. GOODSON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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