45D2228723 CLIA NUMBER - UNITED COALITION PHARMACY (RX ROOM)

Laboratory Demographics

  • CLIA Code: 45D2228723
  • Facility Name: UNITED COALITION PHARMACY (RX ROOM)
  • Facility Address: 1610 5TH STREET
    LUBBOCK, TX
    ZIP 79401
  • Facility Phone: 806 791-8176
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MELODI BARRETT
  • NPI Number: 1174514681
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2228723
LAB Type Pharmacy
Facility Name UNITED COALITION PHARMACY (RX ROOM)
Street 1610 5TH STREET
City LUBBOCK
State TX
ZIP 79401
Phone 806 791-8176
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/30/2025
Certificate Expiration Date 6/29/2027
Facility Type Pharmacy
Lab Director MELODI BARRETT

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