45D2247272 CLIA NUMBER - NOVA HEALTH, LLC

Laboratory Demographics

CLIA Number: 45D2247272

Facility Name: NOVA HEALTH, LLC

Facility Address:
1408 SUMMIT AVE SUITE 2
PLANO, TX
ZIP 75094
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Facility Phone Number: 972 729-9009

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1952933038

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	45D2247272
LAB Type	Pharmacy
Facility Name	NOVA HEALTH, LLC
Street	1408 SUMMIT AVE SUITE 2
City	PLANO
State	TX
ZIP	75094
Phone	972 729-9009
CertificateType	4
CertificateEffectiveDate	1/5/2024
CertificateExpirationDate	1/4/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024