45D2011754 CLIA NUMBER - WALGREENS #10711

Laboratory Demographics

  • CLIA Code: 45D2011754
  • Facility Name: WALGREENS #10711
  • Facility Address: 1000 E CENTRAL TEXAS EXPY
    KILLEEN, TX
    ZIP 76541
  • Facility Phone: 254 526-4258
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MATTHEW A. HANSON
  • NPI Number: 1245426600
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2011754
LAB Type Pharmacy
Facility Name WALGREENS #10711
Street 1000 E CENTRAL TEXAS EXPY
City KILLEEN
State TX
ZIP 76541
Phone 254 526-4258
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/2/2025
Certificate Expiration Date 6/1/2027
Facility Type Pharmacy
Lab Director MATTHEW A. HANSON

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This page was last updated on: 6/4/2025