45D2314781 CLIA NUMBER - TOM THUMB PHARMACY #0104

Laboratory Demographics

  • CLIA Code: 45D2314781
  • Facility Name: TOM THUMB PHARMACY #0104
  • Facility Address: 1940 N US HWY 77
    WAXAHACHIE, TX
    ZIP 75165
  • Facility Phone: 945 542-3070
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JULIANN SPIDER
  • NPI Number: 1811734668
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2314781
LAB Type Pharmacy
Facility Name TOM THUMB PHARMACY #0104
Street 1940 N US HWY 77
City WAXAHACHIE
State TX
ZIP 75165
Phone 945 542-3070
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/27/2024
Certificate Expiration Date 11/26/2026
Facility Type Pharmacy
Lab Director JULIANN SPIDER

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