45D2315150 CLIA NUMBER - ELGIN PHARMACY

Laboratory Demographics

  • CLIA Code: 45D2315150
  • Facility Name: ELGIN PHARMACY
  • Facility Address: 1202 ELGIN ST SUITE B
    HOUSTON, TX
    ZIP 77004
  • Facility Phone: 713 533-9033
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALAN PHAM
  • NPI Number: 1740605674
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2315150
LAB Type Pharmacy
Facility Name ELGIN PHARMACY
Street 1202 ELGIN ST SUITE B
City HOUSTON
State TX
ZIP 77004
Phone 713 533-9033
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/6/2024
Certificate Expiration Date 12/5/2026
Facility Type Pharmacy
Lab Director ALAN PHAM

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