45D2017976 CLIA NUMBER - WALGREENS #04132

Laboratory Demographics

  • CLIA Code: 45D2017976
  • Facility Name: WALGREENS #04132
  • Facility Address: 780 W BEDFORD EULESS RD
    HURST, TX
    ZIP 76053
  • Facility Phone: 817 282-0308
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEFFERSON D. TURNER
  • NPI Number: 1831104892
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2017976
LAB Type Pharmacy
Facility Name WALGREENS #04132
Street 780 W BEDFORD EULESS RD
City HURST
State TX
ZIP 76053
Phone 817 282-0308
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2025
Certificate Expiration Date 10/5/2027
Facility Type Pharmacy
Lab Director JEFFERSON D. TURNER

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