45D2238130 CLIA NUMBER - MIX IT RX LLC

Laboratory Demographics

CLIA Number: 45D2238130

Facility Name: MIX IT RX LLC

Facility Address:
4775 LEXINGTON BLVD
MISSOURI CITY, TX
ZIP 77459
Get Directions

Facility Phone Number: 346 341-7995

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1316562143

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	45D2238130
LAB Type	Pharmacy
Facility Name	MIX IT RX LLC
Street	4775 LEXINGTON BLVD
City	MISSOURI CITY
State	TX
ZIP	77459
Phone	346 341-7995
CertificateType	4
CertificateEffectiveDate	9/30/2023
CertificateExpirationDate	9/29/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

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

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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