45D2218328 CLIA NUMBER - HITCHCOCK HOMETOWN PHARMACY LLC

Laboratory Demographics

  • CLIA Code: 45D2218328
  • Facility Name: HITCHCOCK HOMETOWN PHARMACY LLC
  • Facility Address: 8719 HIGHWAY 6
    HITCHCOCK, TX
    ZIP 77563
  • Facility Phone: 409 209-0847
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KUMAR NANDAN
  • NPI Number: 1245448521
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 45D2218328
LAB Type Pharmacy
Facility Name HITCHCOCK HOMETOWN PHARMACY LLC
Street 8719 HIGHWAY 6
City HITCHCOCK
State TX
ZIP 77563
Phone 409 209-0847
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/26/2025
Certificate Expiration Date 3/25/2027
Facility Type Pharmacy
Lab Director KUMAR NANDAN

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