45D2237082 CLIA NUMBER - AMC PHARMACY

Laboratory Demographics

CLIA Number: 45D2237082

Facility Name: AMC PHARMACY

Facility Address:
2813 N COMMERCE ST SUITE 115
FORT WORTH, TX
ZIP 76106
Get Directions

Facility Phone Number: 682 703-1523

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1386264547

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 45D2237082
LAB Type Pharmacy
Facility Name AMC PHARMACY
Street 2813 N COMMERCE ST SUITE 115
City FORT WORTH
State TX
ZIP 76106
Phone 682 703-1523
CertificateType 4
CertificateEffectiveDate 9/22/2023
CertificateExpirationDate 9/21/2025
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024