45D2242855 CLIA NUMBER - MARITIME PHARMACEUTICAL SERVICES, INCE

Laboratory Demographics

  • CLIA Code: 45D2242855
  • Facility Name: MARITIME PHARMACEUTICAL SERVICES, INCE
  • Facility Address: 900 BROADWAY
    HOUSTON, TX
    ZIP 77012
  • Facility Phone: 713 921-1052
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: URAIWAN PINWATANA TESFAYE
  • NPI Number: 1881789022
  • Taxonomy: 183500000X - Pharmacist

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CLIA Record

Field Name Field Value
CLIA Number 45D2242855
LAB Type Pharmacy
Facility Name MARITIME PHARMACEUTICAL SERVICES, INCE
Street 900 BROADWAY
City HOUSTON
State TX
ZIP 77012
Phone 713 921-1052
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/12/2023
Certificate Expiration Date 11/11/2025
Facility Type Pharmacy
Lab Director URAIWAN PINWATANA TESFAYE

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