45D1032573 CLIA NUMBER - ALBERTSONS PHARMACY #4176

Laboratory Demographics

  • CLIA Code: 45D1032573
  • Facility Name: ALBERTSONS PHARMACY #4176
  • Facility Address: 225 E SPRING ST
    WEATHERFORD, TX
    ZIP 76086
  • Facility Phone: 817 594-9816
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JULIANN SPIER
  • NPI Number: 1093752552
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1032573
LAB Type Pharmacy
Facility Name ALBERTSONS PHARMACY #4176
Street 225 E SPRING ST
City WEATHERFORD
State TX
ZIP 76086
Phone 817 594-9816
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: 9/29/2025