45D2246277 CLIA NUMBER - MACPRINCE PHARMACY, INC

Laboratory Demographics

  • CLIA Code: 45D2246277
  • Facility Name: MACPRINCE PHARMACY, INC
  • Facility Address: 6080 S HULEN STREET SUITE 320
    FORT WORTH, TX
    ZIP 76132
  • Facility Phone: 682 250-2229
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PRINCE C. OGBONNA
  • NPI Number: 1235763277
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2246277
LAB Type Pharmacy
Facility Name MACPRINCE PHARMACY, INC
Street 6080 S HULEN STREET SUITE 320
City FORT WORTH
State TX
ZIP 76132
Phone 682 250-2229
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/22/2023
Certificate Expiration Date 12/21/2025
Facility Type Pharmacy
Lab Director PRINCE C. OGBONNA

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