45D2291154 CLIA NUMBER - ROCK PHARMACY LLC

Laboratory Demographics

  • CLIA Code: 45D2291154
  • Facility Name: ROCK PHARMACY LLC
  • Facility Address: 1201 S MAIN ST # 121
    BOERNE, TX
    ZIP 78006
  • Facility Phone: 830 357-5052
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PETER C. ORAEKWE
  • NPI Number: 1124394283
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2291154
LAB Type Physician Office
Facility Name ROCK PHARMACY LLC
Street 1201 S MAIN ST # 121
City BOERNE
State TX
ZIP 78006
Phone 830 357-5052
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/5/2023
Certificate Expiration Date 10/4/2025
Facility Type Physician Office
Lab Director PETER C. ORAEKWE

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