45D2181465 CLIA NUMBER - GROCERY OUTLET PHARMACY

Laboratory Demographics

  • CLIA Code: 45D2181465
  • Facility Name: GROCERY OUTLET PHARMACY
  • Facility Address: 1568 AUSTIN HWY
    SAN ANTONIO, TX
    ZIP 78218
  • Facility Phone: 210 446-2364
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CINNAMON R. MITCHELL
  • NPI Number: 1346781945
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2181465
LAB Type Pharmacy
Facility Name GROCERY OUTLET PHARMACY
Street 1568 AUSTIN HWY
City SAN ANTONIO
State TX
ZIP 78218
Phone 210 446-2364
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/6/2024
Certificate Expiration Date 4/5/2026
Facility Type Pharmacy
Lab Director CINNAMON R. MITCHELL

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