45D2011763 CLIA NUMBER - WALGREENS #03159

Laboratory Demographics

  • CLIA Code: 45D2011763
  • Facility Name: WALGREENS #03159
  • Facility Address: 2021 PECAN ST W
    PFLUGERVILLE, TX
    ZIP 78660
  • Facility Phone: 512 251-4554
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LISA L. ROSS
  • NPI Number: 1629338413
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2011763
LAB Type Pharmacy
Facility Name WALGREENS #03159
Street 2021 PECAN ST W
City PFLUGERVILLE
State TX
ZIP 78660
Phone 512 251-4554
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/27/2023
Certificate Expiration Date 10/26/2025
Facility Type Pharmacy
Lab Director LISA L. ROSS

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