45D1032492 CLIA NUMBER - ALBERTSONS PHARMACY #4223

Laboratory Demographics

  • CLIA Code: 45D1032492
  • Facility Name: ALBERTSONS PHARMACY #4223
  • Facility Address: 9300 CLIFFORD STREET
    FORT WORTH, TX
    ZIP 76108
  • Facility Phone: 817 246-4909
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JULIANN SPIER
  • NPI Number: 1811934375
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1032492
LAB Type Pharmacy
Facility Name ALBERTSONS PHARMACY #4223
Street 9300 CLIFFORD STREET
City FORT WORTH
State TX
ZIP 76108
Phone 817 246-4909
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2024
Certificate Expiration Date 1/9/2026
Facility Type Pharmacy
Lab Director JULIANN SPIER

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