45D2205213 CLIA NUMBER - MAIN STREET PHARMACY

Laboratory Demographics

  • CLIA Code: 45D2205213
  • Facility Name: MAIN STREET PHARMACY
  • Facility Address: 121 EAST NORTH MAIN ST
    FLATONIA, TX
    ZIP 78941
  • Facility Phone: 361 865-3554
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PAULA H. GRAHMANN
  • NPI Number: 1225131352
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2205213
LAB Type Pharmacy
Facility Name MAIN STREET PHARMACY
Street 121 EAST NORTH MAIN ST
City FLATONIA
State TX
ZIP 78941
Phone 361 865-3554
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2024
Certificate Expiration Date 12/13/2026
Facility Type Pharmacy
Lab Director PAULA H. GRAHMANN

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