45D2176506 CLIA NUMBER - GUS'S DRUG

Laboratory Demographics

  • CLIA Code: 45D2176506
  • Facility Name: GUS'S DRUG
  • Facility Address: 702 E UNIVERSITY AVE
    GEORGETOWN, TX
    ZIP 78626
  • Facility Phone: 512 863-2506
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAMES A. KONOPKA
  • NPI Number: 1730291642
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2176506
LAB Type Pharmacy
Facility Name GUS'S DRUG
Street 702 E UNIVERSITY AVE
City GEORGETOWN
State TX
ZIP 78626
Phone 512 863-2506
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2023
Certificate Expiration Date 12/16/2025
Facility Type Pharmacy
Lab Director JAMES A. KONOPKA

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