45D2013170 CLIA NUMBER - WALGREENS #03881

Laboratory Demographics

  • CLIA Code: 45D2013170
  • Facility Name: WALGREENS #03881
  • Facility Address: 2253 CENTRAL DR
    BEDFORD, TX
    ZIP 76021
  • Facility Phone: 817 868-9202
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAVID W. HAYDEK
  • NPI Number: 1588671473
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2013170
LAB Type Pharmacy
Facility Name WALGREENS #03881
Street 2253 CENTRAL DR
City BEDFORD
State TX
ZIP 76021
Phone 817 868-9202
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2025
Certificate Expiration Date 5/23/2027
Facility Type Pharmacy
Lab Director DAVID W. HAYDEK

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This page was last updated on: 6/4/2025