45D2223762 CLIA NUMBER - THIRUMALA GROUP, LLC DBA PRINCETON PHARMACY

Laboratory Demographics

  • CLIA Code: 45D2223762
  • Facility Name: THIRUMALA GROUP, LLC DBA PRINCETON PHARMACY
  • Facility Address: 100 W PRINCTON DR SUITE A
    PRINCETON, TX
    ZIP 75407
  • Facility Phone: 972 736-3777
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PRAVEENKUMAR DAIDA
  • NPI Number: 1699112284
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2223762
LAB Type Pharmacy
Facility Name THIRUMALA GROUP, LLC DBA PRINCETON PHARMACY
Street 100 W PRINCTON DR SUITE A
City PRINCETON
State TX
ZIP 75407
Phone 972 736-3777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/10/2025
Certificate Expiration Date 5/9/2027
Facility Type Pharmacy
Lab Director PRAVEENKUMAR DAIDA

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