45D2190815 CLIA NUMBER - THE OTHER GUYS PHARMACY

Laboratory Demographics

  • CLIA Code: 45D2190815
  • Facility Name: THE OTHER GUYS PHARMACY
  • Facility Address: 1116 E 8TH STREET, STE 1
    WESLACO, TX
    ZIP 78596
  • Facility Phone: 956 405-3232
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NOE MEDINA
  • NPI Number: 1457965691
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 45D2190815
LAB Type Pharmacy
Facility Name THE OTHER GUYS PHARMACY
Street 1116 E 8TH STREET, STE 1
City WESLACO
State TX
ZIP 78596
Phone 956 405-3232
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2024
Certificate Expiration Date 6/6/2026
Facility Type Pharmacy
Lab Director NOE MEDINA

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