45D2011767 CLIA NUMBER - WALGREENS #04875

Laboratory Demographics

  • CLIA Code: 45D2011767
  • Facility Name: WALGREENS #04875
  • Facility Address: 3033 S 14TH ST
    ABILENE, TX
    ZIP 79605
  • Facility Phone: 325 795-1440
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAMES LYNN CROSS
  • NPI Number: 1952316929
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2011767
LAB Type Pharmacy
Facility Name WALGREENS #04875
Street 3033 S 14TH ST
City ABILENE
State TX
ZIP 79605
Phone 325 795-1440
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/16/2025
Certificate Expiration Date 2/15/2027
Facility Type Pharmacy
Lab Director JAMES LYNN CROSS

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