45D2208064 CLIA NUMBER - RED OAK DRUG, INC DBA RED OAK DRUG

Laboratory Demographics

  • CLIA Code: 45D2208064
  • Facility Name: RED OAK DRUG, INC DBA RED OAK DRUG
  • Facility Address: 106 E OVILLA RD SUITE 1
    RED OAK, TX
    ZIP 75154
  • Facility Phone: 972 617-2222
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MAVIS A. MINGLE
  • NPI Number: 1407943798
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2208064
LAB Type Pharmacy
Facility Name RED OAK DRUG, INC DBA RED OAK DRUG
Street 106 E OVILLA RD SUITE 1
City RED OAK
State TX
ZIP 75154
Phone 972 617-2222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/4/2025
Certificate Expiration Date 1/3/2027
Facility Type Pharmacy
Lab Director MAVIS A. MINGLE

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