45D2012685 CLIA NUMBER - WALGREENS #06562

Laboratory Demographics

  • CLIA Code: 45D2012685
  • Facility Name: WALGREENS #06562
  • Facility Address: 1201 FERRIS AVE
    WAXAHACHIE, TX
    ZIP 75165
  • Facility Phone: 972 923-3227
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TAI LE
  • NPI Number: 1902229834
  • Taxonomy: 305S00000X - Point of Service

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CLIA Record

Field Name Field Value
CLIA Number 45D2012685
LAB Type Pharmacy
Facility Name WALGREENS #06562
Street 1201 FERRIS AVE
City WAXAHACHIE
State TX
ZIP 75165
Phone 972 923-3227
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2025
Certificate Expiration Date 3/4/2027
Facility Type Pharmacy
Lab Director TAI LE

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