45D1032727 CLIA NUMBER - ALBERTSON'S PHARMACY #4267

Laboratory Demographics

  • CLIA Code: 45D1032727
  • Facility Name: ALBERTSON'S PHARMACY #4267
  • Facility Address: 6249 RUFE SNOW DRIVE
    WATAUGA, TX
    ZIP 76148
  • Facility Phone: 817 428-0371
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JULIANN SPIER
  • NPI Number: 1457669509
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1032727
LAB Type Pharmacy
Facility Name ALBERTSON'S PHARMACY #4267
Street 6249 RUFE SNOW DRIVE
City WATAUGA
State TX
ZIP 76148
Phone 817 428-0371
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/9/2025
Certificate Expiration Date 3/8/2027
Facility Type Pharmacy
Lab Director JULIANN SPIER

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