45D2309632 CLIA NUMBER - FM 1488 PHARMACY

Laboratory Demographics

  • CLIA Code: 45D2309632
  • Facility Name: FM 1488 PHARMACY
  • Facility Address: 4849 FM 1488 RD SUITE 1500
    MAGNOLIA, TX
    ZIP 77354
  • Facility Phone: 281 864-1184
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KRUNAL B. PATEL
  • NPI Number: 1356075469
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2309632
LAB Type Pharmacy
Facility Name FM 1488 PHARMACY
Street 4849 FM 1488 RD SUITE 1500
City MAGNOLIA
State TX
ZIP 77354
Phone 281 864-1184
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2024
Certificate Expiration Date 8/18/2026
Facility Type Pharmacy
Lab Director KRUNAL B. PATEL

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