45D2011754 CLIA NUMBER - WALGREENS #10711

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Laboratory Demographics

CLIA Number: 45D2011754

Facility Name: WALGREENS #10711

Facility Address:
1000 E CENTRAL TEXAS EXPY
KILLEEN, TX
ZIP 76541
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Facility Phone Number: 254 526-4258

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1245426600

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

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
CertificateType	4
CertificateEffectiveDate	6/2/2023
CertificateExpirationDate	6/1/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024