CLIA lab
CLIA 45D2249462: Tom Thumb Pharmacy #1789
Trophy Club, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 45D2249462 belongs to Tom Thumb Pharmacy #1789 in Trophy Club, TX.
Certificate of Waiver, effective January 20, 2026, expires January 19, 2028.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- January 20, 2026
- Certificate expiration
- January 19, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 20, 2022
- Facility type
- Pharmacy
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 45D2249462
- Lab name
- Tom Thumb Pharmacy #1789
- Address
- 101 Trophy Lake Dr, Trophy Club, TX 76262
- Phone
- (817) 490-6968
- Fax
- (817) 490-6985
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Trophy Club, TX
- BSW Primary Care Trophy ClubCertificate of Waiver, Physician office45D2116102
- Baylor Scott & White Medical Center - Trophy ClubCertificate of Accreditation, Hospital45D1024972
- Ccpn Trophy ClubCertificate of Waiver, Physician office45D2122841
- Crescent Direct Primary CareCertificate of Waiver, Physician office45D2326170
- Methodist Medical Group Trophy ClubCertificate of Waiver, Physician office45D2347206
- Pediatric Concierge of North TexasCertificate of Waiver, Mobile lab45D2317243
- Trophy Club EMSCertificate of Waiver, Ambulance45D1027851
- Trophy Club Family MedicineCertificate for Provider-Performed Microscopy Procedures, Physician office45D1006905
- True Medicine, PACertificate of Waiver, Mobile lab45D1095598
- Urology Clinics of North TexasCertificate of Waiver, Physician office45D2164366
Related
Questions
What is the CLIA number for Tom Thumb Pharmacy #1789 in Trophy Club?
45D2249462, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Tom Thumb Pharmacy #1789 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 45D2249462 expire?
The CMS file lists January 19, 2028 as the certificate expiration date; the certificate took effect January 20, 2026.