45D2200282 CLIA NUMBER - PROFESSIONAL PHARMACY HKA CORP D/B/A

Laboratory Demographics

  • CLIA Code: 45D2200282
  • Facility Name: PROFESSIONAL PHARMACY HKA CORP D/B/A
  • Facility Address: 1010 S EDDY SUITE A
    PECOS, TX
    ZIP 79772
  • Facility Phone: 432 447-2266
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LEO HUNG
  • NPI Number: 1780715607
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2200282
LAB Type Pharmacy
Facility Name PROFESSIONAL PHARMACY HKA CORP D/B/A
Street 1010 S EDDY SUITE A
City PECOS
State TX
ZIP 79772
Phone 432 447-2266
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2024
Certificate Expiration Date 11/12/2026
Facility Type Pharmacy
Lab Director LEO HUNG

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