45D0975599 CLIA NUMBER - WALGREENS #05613

Laboratory Demographics

  • CLIA Code: 45D0975599
  • Facility Name: WALGREENS #05613
  • Facility Address: 5921 HILLSIDE ROAD
    AMARILLO, TX
    ZIP 79109
  • Facility Phone: 806 463-1057
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AHMED J. JALLAD
  • NPI Number: 1851306831
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D0975599
LAB Type Pharmacy
Facility Name WALGREENS #05613
Street 5921 HILLSIDE ROAD
City AMARILLO
State TX
ZIP 79109
Phone 806 463-1057
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/30/2025
Certificate Expiration Date 3/29/2027
Facility Type Pharmacy
Lab Director AHMED J. JALLAD

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This page was last updated on: 6/4/2025