45D2205744 CLIA NUMBER - MEDIC PHARMACY & GIFTS

Laboratory Demographics

  • CLIA Code: 45D2205744
  • Facility Name: MEDIC PHARMACY & GIFTS
  • Facility Address: 200 CHEYENE AVE
    CANADIAN, TX
    ZIP 79014
  • Facility Phone: 806 323-6171
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RICHARDSON N. BROOKE
  • NPI Number: 1942393392
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2205744
LAB Type Pharmacy
Facility Name MEDIC PHARMACY & GIFTS
Street 200 CHEYENE AVE
City CANADIAN
State TX
ZIP 79014
Phone 806 323-6171
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2024
Certificate Expiration Date 12/14/2026
Facility Type Pharmacy
Lab Director RICHARDSON N. BROOKE

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