45D1032937 CLIA NUMBER - ALBERTSONS PHARMACY #4290

Laboratory Demographics

  • CLIA Code: 45D1032937
  • Facility Name: ALBERTSONS PHARMACY #4290
  • Facility Address: 480 NORTHWEST PARKWAY
    AZLE, TX
    ZIP 76020
  • Facility Phone: 817 270-1120
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JULIANN SPIER
  • NPI Number: 1598702045
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1032937
LAB Type Pharmacy
Facility Name ALBERTSONS PHARMACY #4290
Street 480 NORTHWEST PARKWAY
City AZLE
State TX
ZIP 76020
Phone 817 270-1120
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2025
Certificate Expiration Date 7/21/2027
Facility Type Pharmacy
Lab Director JULIANN SPIER

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