45D2012673 CLIA NUMBER - WALGREENS #03910

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Laboratory Demographics

CLIA Number: 45D2012673

Facility Name: WALGREENS #03910

Facility Address:
100 SE GREEN OAKS BLVD
ARLINGTON, TX
ZIP 76018
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Facility Phone Number: 817 419-0585

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1710994645

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	45D2012673
LAB Type	Pharmacy
Facility Name	WALGREENS #03910
Street	100 SE GREEN OAKS BLVD
City	ARLINGTON
State	TX
ZIP	76018
Phone	817 419-0585
CertificateType	4
CertificateEffectiveDate	5/21/2023
CertificateExpirationDate	5/20/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024