45D2204789 CLIA NUMBER - LOTUS PHARMA INC

Laboratory Demographics

  • CLIA Code: 45D2204789
  • Facility Name: LOTUS PHARMA INC
  • Facility Address: 1205 AVONDALE HASLET RD
    HASLET, TX
    ZIP 76052
  • Facility Phone: 817 945-2608
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HIREN RAVAL
  • NPI Number: 1336536218
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2204789
LAB Type Pharmacy
Facility Name LOTUS PHARMA INC
Street 1205 AVONDALE HASLET RD
City HASLET
State TX
ZIP 76052
Phone 817 945-2608
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/10/2024
Certificate Expiration Date 12/9/2026
Facility Type Pharmacy
Lab Director HIREN RAVAL

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