45D1032737 CLIA NUMBER - ALBERTSONS PHARMACY #4272

Laboratory Demographics

  • CLIA Code: 45D1032737
  • Facility Name: ALBERTSONS PHARMACY #4272
  • Facility Address: 850 E LOOP 820
    FORT WORTH, TX
    ZIP 76112
  • Facility Phone: 817 451-1637
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JULIANN SPIER
  • NPI Number: 1972540433
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1032737
LAB Type Pharmacy
Facility Name ALBERTSONS PHARMACY #4272
Street 850 E LOOP 820
City FORT WORTH
State TX
ZIP 76112
Phone 817 451-1637
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/6/2024
Certificate Expiration Date 1/5/2026
Facility Type Pharmacy
Lab Director JULIANN SPIER

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