45D2261175 CLIA NUMBER - OLD CORNER DRUG WACO

Laboratory Demographics

  • CLIA Code: 45D2261175
  • Facility Name: OLD CORNER DRUG WACO
  • Facility Address: 6612 WOODWAY DR - BUILDING A, SUITE 1
    WOODWAY, TX
    ZIP 76712
  • Facility Phone: 254 300-5590
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HANNAH F. RAMIREZ
  • NPI Number: 1922772193
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2261175
LAB Type Pharmacy
Facility Name OLD CORNER DRUG WACO
Street 6612 WOODWAY DR - BUILDING A, SUITE 1
City WOODWAY
State TX
ZIP 76712
Phone 254 300-5590
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2024
Certificate Expiration Date 5/25/2026
Facility Type Pharmacy
Lab Director HANNAH F. RAMIREZ

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