45D2005167 CLIA NUMBER - ALBERTSONS PHARMACY #4286

Laboratory Demographics

  • CLIA Code: 45D2005167
  • Facility Name: ALBERTSONS PHARMACY #4286
  • Facility Address: 6700 WEST FREEWAY
    FORT WORTH, TX
    ZIP 76116
  • Facility Phone: 817 377-8078
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JULIANN SPIER
  • NPI Number: 1871530337
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2005167
LAB Type Pharmacy
Facility Name ALBERTSONS PHARMACY #4286
Street 6700 WEST FREEWAY
City FORT WORTH
State TX
ZIP 76116
Phone 817 377-8078
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2024
Certificate Expiration Date 3/21/2026
Facility Type Pharmacy
Lab Director JULIANN SPIER

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