45D2185360 CLIA NUMBER - AYDIL RX SERVICES, LLC DBA MEDICINE SHOPPE #2015

Laboratory Demographics

  • CLIA Code: 45D2185360
  • Facility Name: AYDIL RX SERVICES, LLC DBA MEDICINE SHOPPE #2015
  • Facility Address: 3001 JOE RAMSEY BLVD E
    GREENVILLE, TX
    ZIP 75401
  • Facility Phone: 903 455-7200
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VIMAL L. BHAKTA
  • NPI Number: 1659780302
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2185360
LAB Type Pharmacy
Facility Name AYDIL RX SERVICES, LLC DBA MEDICINE SHOPPE #2015
Street 3001 JOE RAMSEY BLVD E
City GREENVILLE
State TX
ZIP 75401
Phone 903 455-7200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/2/2024
Certificate Expiration Date 6/1/2026
Facility Type Pharmacy
Lab Director VIMAL L. BHAKTA

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