45D2176116 CLIA NUMBER - MED-SHOP PHARMACY, THE

Laboratory Demographics

  • CLIA Code: 45D2176116
  • Facility Name: MED-SHOP PHARMACY, THE
  • Facility Address: 825 US HWY 271 N
    GILMER, TX
    ZIP 75644
  • Facility Phone: 903 680-2600
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PETE POWERS
  • NPI Number: 1861030504
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2176116
LAB Type Pharmacy
Facility Name MED-SHOP PHARMACY, THE
Street 825 US HWY 271 N
City GILMER
State TX
ZIP 75644
Phone 903 680-2600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/9/2023
Certificate Expiration Date 12/8/2025
Facility Type Pharmacy
Lab Director PETE POWERS

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