45D2190084 CLIA NUMBER - MOORE'S COMPOUNDING PHARMACY

Laboratory Demographics

  • CLIA Code: 45D2190084
  • Facility Name: MOORE'S COMPOUNDING PHARMACY
  • Facility Address: 5945 MCARDIE ROAD, SUITE 101
    CORPUS CHRISTI, TX
    ZIP 78412
  • Facility Phone: 361 853-2061
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KELBY D GORMAN
  • NPI Number: 1346301413
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2190084
LAB Type Pharmacy
Facility Name MOORE'S COMPOUNDING PHARMACY
Street 5945 MCARDIE ROAD, SUITE 101
City CORPUS CHRISTI
State TX
ZIP 78412
Phone 361 853-2061
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2024
Certificate Expiration Date 8/9/2026
Facility Type Pharmacy
Lab Director KELBY D GORMAN

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