45D2184674 CLIA NUMBER - MANA GROUP PHARMACIES, LLC

Laboratory Demographics

  • CLIA Code: 45D2184674
  • Facility Name: MANA GROUP PHARMACIES, LLC
  • Facility Address: 2021 N MACARTHUR BLVD UNIT 120
    IRVING, TX
    ZIP 75061
  • Facility Phone: 972 254-8156
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER TAPPER
  • NPI Number: 1376647339
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2184674
LAB Type Pharmacy
Facility Name MANA GROUP PHARMACIES, LLC
Street 2021 N MACARTHUR BLVD UNIT 120
City IRVING
State TX
ZIP 75061
Phone 972 254-8156
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2024
Certificate Expiration Date 5/21/2026
Facility Type Pharmacy
Lab Director CHRISTOPHER TAPPER

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