45D1032534 CLIA NUMBER - ALBERTSONS PHARMACY #4124

Laboratory Demographics

  • CLIA Code: 45D1032534
  • Facility Name: ALBERTSONS PHARMACY #4124
  • Facility Address: 7400 OAKMONT BLVD
    FORT WORTH, TX
    ZIP 76132
  • Facility Phone: 817 423-9569
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JULIANN SPIER
  • NPI Number: 1912944471
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1032534
LAB Type Pharmacy
Facility Name ALBERTSONS PHARMACY #4124
Street 7400 OAKMONT BLVD
City FORT WORTH
State TX
ZIP 76132
Phone 817 423-9569
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/8/2023
Certificate Expiration Date 12/7/2025
Facility Type Pharmacy
Lab Director JULIANN SPIER

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