45D2182953 CLIA NUMBER - MABANK FAMILY PHARMACY

Laboratory Demographics

  • CLIA Code: 45D2182953
  • Facility Name: MABANK FAMILY PHARMACY
  • Facility Address: 207 N 3RD STREET
    MABANK, TX
    ZIP 75147
  • Facility Phone: 903 887-3711
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DEWAYNE L. CHAPMAN
  • NPI Number: 1033772447
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 45D2182953
LAB Type Pharmacy
Facility Name MABANK FAMILY PHARMACY
Street 207 N 3RD STREET
City MABANK
State TX
ZIP 75147
Phone 903 887-3711
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2024
Certificate Expiration Date 4/27/2026
Facility Type Pharmacy
Lab Director DEWAYNE L. CHAPMAN

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This page was last updated on: 6/4/2025