45D2012673 CLIA NUMBER - WALGREENS #03910

Laboratory Demographics

  • CLIA Code: 45D2012673
  • Facility Name: WALGREENS #03910
  • Facility Address: 100 SE GREEN OAKS BLVD
    ARLINGTON, TX
    ZIP 76018
  • Facility Phone: 817 419-0585
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNIFER N. CAO
  • NPI Number: 1710994645
  • Taxonomy: 333600000X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2025
Certificate Expiration Date 5/20/2027
Facility Type Pharmacy
Lab Director JENNIFER N. CAO

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