45D2318095 CLIA NUMBER - MARKET STREET PHARMACY # 688

Laboratory Demographics

  • CLIA Code: 45D2318095
  • Facility Name: MARKET STREET PHARMACY # 688
  • Facility Address: 8761 S COULTER ST
    AMARILLO, TX
    ZIP 79119
  • Facility Phone: 806 468-2782
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ADAM HUDDLESTON
  • NPI Number: 1760233209
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2318095
LAB Type Pharmacy
Facility Name MARKET STREET PHARMACY # 688
Street 8761 S COULTER ST
City AMARILLO
State TX
ZIP 79119
Phone 806 468-2782
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/5/2025
Certificate Expiration Date 2/4/2027
Facility Type Pharmacy
Lab Director ADAM HUDDLESTON

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