45D2014201 CLIA NUMBER - WALGREENS #04786

Laboratory Demographics

  • CLIA Code: 45D2014201
  • Facility Name: WALGREENS #04786
  • Facility Address: 5049 PRESTON RD
    FRISCO, TX
    ZIP 75034
  • Facility Phone: 214 387-9505
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JUSTIN J. THOMAS
  • NPI Number: 1912914896
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2014201
LAB Type Pharmacy
Facility Name WALGREENS #04786
Street 5049 PRESTON RD
City FRISCO
State TX
ZIP 75034
Phone 214 387-9505
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/19/2025
Certificate Expiration Date 2/18/2027
Facility Type Pharmacy
Lab Director JUSTIN J. THOMAS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 3/20/2025