45D1032560 CLIA NUMBER - ALBERTSONS PHARMACY #4150

Laboratory Demographics

  • CLIA Code: 45D1032560
  • Facility Name: ALBERTSONS PHARMACY #4150
  • Facility Address: 6308 LAKE WORTH BLVD
    LAKE WORTH, TX
    ZIP 76135
  • Facility Phone: (817) 237-8128
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JULIANN SPIER
  • NPI Number: 1417994971
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1032560
LAB Type Pharmacy
Facility Name ALBERTSONS PHARMACY #4150
Street 6308 LAKE WORTH BLVD
City LAKE WORTH
State TX
ZIP 76135
Phone 8172378128
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/9/2024
Certificate Expiration Date 12/8/2026
Facility Type Pharmacy
Lab Director JULIANN SPIER

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This page was last updated on: 5/18/2026