45D2264342 CLIA NUMBER - CBK PHARMACY LLC

Laboratory Demographics

  • CLIA Code: 45D2264342
  • Facility Name: CBK PHARMACY LLC
  • Facility Address: 1303 MCCULLOUGH AVE, SUITE 128
    SAN ANTONIO, TX
    ZIP 78212
  • Facility Phone: 210 227-7207
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JODY WELCHANS
  • NPI Number: 1043985278
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2264342
LAB Type Pharmacy
Facility Name CBK PHARMACY LLC
Street 1303 MCCULLOUGH AVE, SUITE 128
City SAN ANTONIO
State TX
ZIP 78212
Phone 210 227-7207
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2024
Certificate Expiration Date 7/12/2026
Facility Type Pharmacy
Lab Director JODY WELCHANS

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