45D2263836 CLIA NUMBER - CUSTOM CARE PHARMACY

Laboratory Demographics

  • CLIA Code: 45D2263836
  • Facility Name: CUSTOM CARE PHARMACY
  • Facility Address: 20320 NORTHWEST FREEWAY #300
    HOUSTON, TX
    ZIP 77055
  • Facility Phone: 832 688-9666
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CARMALITA LANDRY OVID
  • NPI Number: 1861935389
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2263836
LAB Type Pharmacy
Facility Name CUSTOM CARE PHARMACY
Street 20320 NORTHWEST FREEWAY #300
City HOUSTON
State TX
ZIP 77055
Phone 832 688-9666
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2024
Certificate Expiration Date 7/5/2026
Facility Type Pharmacy
Lab Director CARMALITA LANDRY OVID

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