45D2182062 CLIA NUMBER - DAVY CROCKETT DRUG

Laboratory Demographics

  • CLIA Code: 45D2182062
  • Facility Name: DAVY CROCKETT DRUG
  • Facility Address: 107 S 4TH STREET
    CROCKETT, TX
    ZIP 75835
  • Facility Phone: 936 544-2275
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAMES J. MARTIN
  • NPI Number: 1407944382
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2182062
LAB Type Pharmacy
Facility Name DAVY CROCKETT DRUG
Street 107 S 4TH STREET
City CROCKETT
State TX
ZIP 75835
Phone 936 544-2275
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/15/2025
Certificate Expiration Date 9/14/2027
Facility Type Pharmacy
Lab Director JAMES J. MARTIN

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