45D1032726 CLIA NUMBER - ALBERTSONS PHARMACY #4265

Laboratory Demographics

  • CLIA Code: 45D1032726
  • Facility Name: ALBERTSONS PHARMACY #4265
  • Facility Address: 5710 BROADWAY BLVD
    GARLAND, TX
    ZIP 75043
  • Facility Phone: 972 240-7438
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JULIANN SPIER
  • NPI Number: 1073550539
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1032726
LAB Type Pharmacy
Facility Name ALBERTSONS PHARMACY #4265
Street 5710 BROADWAY BLVD
City GARLAND
State TX
ZIP 75043
Phone 972 240-7438
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