45D1032740 CLIA NUMBER - ALBERTSONS PHARMACY #4277

Laboratory Demographics

  • CLIA Code: 45D1032740
  • Facility Name: ALBERTSONS PHARMACY #4277
  • Facility Address: 3525 SYCAMORE SCHOOL ROAD
    FORT WORTH, TX
    ZIP 76133
  • Facility Phone: 817 346-4457
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JULIANN SPIER
  • NPI Number: 1477590800
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1032740
LAB Type Pharmacy
Facility Name ALBERTSONS PHARMACY #4277
Street 3525 SYCAMORE SCHOOL ROAD
City FORT WORTH
State TX
ZIP 76133
Phone 817 346-4457
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/8/2023
Certificate Expiration Date 12/7/2025
Facility Type Pharmacy
Lab Director JULIANN SPIER

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