45D2011761 CLIA NUMBER - WALGREENS#05708

Laboratory Demographics

  • CLIA Code: 45D2011761
  • Facility Name: WALGREENS#05708
  • Facility Address: 2650 R R 620
    ROUND ROCK, TX
    ZIP 78681
  • Facility Phone: 512 733-6361
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KRISTINA DINH
  • NPI Number: 1871822502
  • Taxonomy: 183500000X - Pharmacist

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CLIA Record

Field Name Field Value
CLIA Number 45D2011761
LAB Type Pharmacy
Facility Name WALGREENS#05708
Street 2650 R R 620
City ROUND ROCK
State TX
ZIP 78681
Phone 512 733-6361
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2025
Certificate Expiration Date 6/16/2027
Facility Type Pharmacy
Lab Director KRISTINA DINH

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