45D2011757 CLIA NUMBER - WALGREENS #10615

Laboratory Demographics

  • CLIA Code: 45D2011757
  • Facility Name: WALGREENS #10615
  • Facility Address: 5345 N IH 35
    AUSTIN, TX
    ZIP 78723
  • Facility Phone: 512 452-9452
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AIMEE LUSSON
  • NPI Number: 1225043276
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2011757
LAB Type Pharmacy
Facility Name WALGREENS #10615
Street 5345 N IH 35
City AUSTIN
State TX
ZIP 78723
Phone 512 452-9452
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/9/2025
Certificate Expiration Date 4/8/2027
Facility Type Pharmacy
Lab Director AIMEE LUSSON

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