45D2233816 CLIA NUMBER - BONHAM FAMILY DRUG

Laboratory Demographics

  • CLIA Code: 45D2233816
  • Facility Name: BONHAM FAMILY DRUG
  • Facility Address: 100 E SAM RAYBURN DR
    BONHAM, TX
    ZIP 75418
  • Facility Phone: 903 583-7325
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JARROD W. BAUM
  • NPI Number: 1265033203
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2233816
LAB Type Pharmacy
Facility Name BONHAM FAMILY DRUG
Street 100 E SAM RAYBURN DR
City BONHAM
State TX
ZIP 75418
Phone 903 583-7325
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/26/2025
Certificate Expiration Date 8/25/2027
Facility Type Pharmacy
Lab Director JARROD W. BAUM

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