45D2011786 CLIA NUMBER - WALGREENS #03342

Laboratory Demographics

  • CLIA Code: 45D2011786
  • Facility Name: WALGREENS #03342
  • Facility Address: 710 N BELL BLVD
    CEDAR PARK, TX
    ZIP 78613
  • Facility Phone: 512 250-0867
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AIMEE LUSSON
  • NPI Number: 1821005703
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2011786
LAB Type Pharmacy
Facility Name WALGREENS #03342
Street 710 N BELL BLVD
City CEDAR PARK
State TX
ZIP 78613
Phone 512 250-0867
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/7/2025
Certificate Expiration Date 4/6/2027
Facility Type Pharmacy
Lab Director AIMEE LUSSON

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