45D2307355 CLIA NUMBER - UNITED PHARMACY #634

Laboratory Demographics

  • CLIA Code: 45D2307355
  • Facility Name: UNITED PHARMACY #634
  • Facility Address: 2720 SOUTHWEST PKWY
    WICHITA FALLS, TX
    ZIP 76309
  • Facility Phone: 806 705-4110
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JILL KRINGLE
  • NPI Number: 1902485436
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2307355
LAB Type Pharmacy
Facility Name UNITED PHARMACY #634
Street 2720 SOUTHWEST PKWY
City WICHITA FALLS
State TX
ZIP 76309
Phone 806 705-4110
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2024
Certificate Expiration Date 7/7/2026
Facility Type Pharmacy
Lab Director JILL KRINGLE

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