45D2013169 CLIA NUMBER - WALGREENS #04014

Laboratory Demographics

  • CLIA Code: 45D2013169
  • Facility Name: WALGREENS #04014
  • Facility Address: 1804 E HEBRON PKWY
    CARROLLTON, TX
    ZIP 75010
  • Facility Phone: 972 939-1977
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALAN P. ATCHISON
  • NPI Number: 1104831163
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2013169
LAB Type Pharmacy
Facility Name WALGREENS #04014
Street 1804 E HEBRON PKWY
City CARROLLTON
State TX
ZIP 75010
Phone 972 939-1977
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 ALAN P. ATCHISON

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