45D2011785 CLIA NUMBER - WALGREENS #03724

Laboratory Demographics

  • CLIA Code: 45D2011785
  • Facility Name: WALGREENS #03724
  • Facility Address: 9801 MANCHACA RD
    AUSTIN, TX
    ZIP 78748
  • Facility Phone: 512 292-1066
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JESSICA L. MILLER
  • NPI Number: 1750696076
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2011785
LAB Type Pharmacy
Facility Name WALGREENS #03724
Street 9801 MANCHACA RD
City AUSTIN
State TX
ZIP 78748
Phone 512 292-1066
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/23/2025
Certificate Expiration Date 6/22/2027
Facility Type Pharmacy
Lab Director JESSICA L. MILLER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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