45D2182073 CLIA NUMBER - HOMETOWN DRUG, INC

Laboratory Demographics

  • CLIA Code: 45D2182073
  • Facility Name: HOMETOWN DRUG, INC
  • Facility Address: 718 W LAMPASAS ST
    ENNIS, TX
    ZIP 75119
  • Facility Phone: 972 875-6798
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DIANA F. COLE
  • NPI Number: 1295173441
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2182073
LAB Type Pharmacy
Facility Name HOMETOWN DRUG, INC
Street 718 W LAMPASAS ST
City ENNIS
State TX
ZIP 75119
Phone 972 875-6798
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/15/2024
Certificate Expiration Date 4/14/2026
Facility Type Pharmacy
Lab Director DIANA F. COLE

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