45D2011760 CLIA NUMBER - WALGREENS #06861

Laboratory Demographics

  • CLIA Code: 45D2011760
  • Facility Name: WALGREENS #06861
  • Facility Address: 9307 N LAMAR BLVD
    AUSTIN, TX
    ZIP 78753
  • Facility Phone: 210 355-6829
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AIMEE LUSSON
  • NPI Number: 1700893708
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2011760
LAB Type Pharmacy
Facility Name WALGREENS #06861
Street 9307 N LAMAR BLVD
City AUSTIN
State TX
ZIP 78753
Phone 210 355-6829
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2024
Certificate Expiration Date 5/19/2026
Facility Type Pharmacy
Lab Director AIMEE LUSSON

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