45D2241636 CLIA NUMBER - STARR DME & PHARMACY

Laboratory Demographics

  • CLIA Code: 45D2241636
  • Facility Name: STARR DME & PHARMACY
  • Facility Address: 1300 S BRYAN ROAD STE 101
    MISSION, TX
    ZIP 78572
  • Facility Phone: 956 271-4258
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NOE MEDINA
  • NPI Number: 1366724387
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2241636
LAB Type Pharmacy
Facility Name STARR DME & PHARMACY
Street 1300 S BRYAN ROAD STE 101
City MISSION
State TX
ZIP 78572
Phone 956 271-4258
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2023
Certificate Expiration Date 10/30/2025
Facility Type Pharmacy
Lab Director NOE MEDINA

Download Record

Download this CLIA record record in Text format: Export

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

Download this CLIA record record in XML format: Export

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