45D2012670 CLIA NUMBER - WALGREENS # 05827

Laboratory Demographics

  • CLIA Code: 45D2012670
  • Facility Name: WALGREENS # 05827
  • Facility Address: 2911 RIDGE RD
    ROCKWALL, TX
    ZIP 75032
  • Facility Phone: 972 772-8418
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL TIGERT
  • NPI Number: 1205841293
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2012670
LAB Type Pharmacy
Facility Name WALGREENS # 05827
Street 2911 RIDGE RD
City ROCKWALL
State TX
ZIP 75032
Phone 972 772-8418
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 MICHAEL TIGERT

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