45D2307363 CLIA NUMBER - BAILEY'S PHARMACY

Laboratory Demographics

  • CLIA Code: 45D2307363
  • Facility Name: BAILEY'S PHARMACY
  • Facility Address: 6700 WEST VICKERY BLVD SUITE B
    FORT WORTH, TX
    ZIP 76116
  • Facility Phone: (817) 862-7412
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHEBA J. WASHINGTON
  • NPI Number: 1154103190
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2307363
LAB Type Pharmacy
Facility Name BAILEY'S PHARMACY
Street 6700 WEST VICKERY BLVD SUITE B
City FORT WORTH
State TX
ZIP 76116
Phone 8178627412
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 SHEBA J. WASHINGTON

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This page was last updated on: 6/29/2026