45D2241557 CLIA NUMBER - INTEGRICARE PHARMACY

Laboratory Demographics

  • CLIA Code: 45D2241557
  • Facility Name: INTEGRICARE PHARMACY
  • Facility Address: 1505 W MCDERMOTT DR SUITE 125
    ALLEN, TX
    ZIP 75013
  • Facility Phone: 972 212-9368
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BICH N. PHAM
  • NPI Number: 1972147791
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2241557
LAB Type Pharmacy
Facility Name INTEGRICARE PHARMACY
Street 1505 W MCDERMOTT DR SUITE 125
City ALLEN
State TX
ZIP 75013
Phone 972 212-9368
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/29/2023
Certificate Expiration Date 10/28/2025
Facility Type Pharmacy
Lab Director BICH N. PHAM

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