45D2191557 CLIA NUMBER - DISMUKESRX, LLC

Laboratory Demographics

  • CLIA Code: 45D2191557
  • Facility Name: DISMUKESRX, LLC
  • Facility Address: 511 EAST DAVIS STREET
    LULING, TX
    ZIP 78648
  • Facility Phone: 830 875-2811
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CATHERINE R. ALLEN
  • NPI Number: 1942652979
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2191557
LAB Type Pharmacy
Facility Name DISMUKESRX, LLC
Street 511 EAST DAVIS STREET
City LULING
State TX
ZIP 78648
Phone 830 875-2811
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/28/2024
Certificate Expiration Date 8/27/2026
Facility Type Pharmacy
Lab Director CATHERINE R. ALLEN

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