45D1020944 CLIA NUMBER - ALBERTSONS PHARMACY #4129

Laboratory Demographics

  • CLIA Code: 45D1020944
  • Facility Name: ALBERTSONS PHARMACY #4129
  • Facility Address: 2828 MOTLEY DRIVE
    MESQUITE, TX
    ZIP 75150
  • Facility Phone: 972 270-4448
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JULIANN SPIER
  • NPI Number: 1043258130
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1020944
LAB Type Pharmacy
Facility Name ALBERTSONS PHARMACY #4129
Street 2828 MOTLEY DRIVE
City MESQUITE
State TX
ZIP 75150
Phone 972 270-4448
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/14/2025
Certificate Expiration Date 4/13/2027
Facility Type Pharmacy
Lab Director JULIANN SPIER

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