45D2246364 CLIA NUMBER - SPRINGWOOD PHARMACY LLC

Laboratory Demographics

  • CLIA Code: 45D2246364
  • Facility Name: SPRINGWOOD PHARMACY LLC
  • Facility Address: 6404 NURSERY DRIVE, SUITE 101
    VICTORIA, TX
    ZIP 77904
  • Facility Phone: 361 894-6835
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MELISSA TIEU
  • NPI Number: 1417551417
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2246364
LAB Type Pharmacy
Facility Name SPRINGWOOD PHARMACY LLC
Street 6404 NURSERY DRIVE, SUITE 101
City VICTORIA
State TX
ZIP 77904
Phone 361 894-6835
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Pharmacy
Lab Director MELISSA TIEU

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