45D2017978 CLIA NUMBER - WALGREENS #09041

Laboratory Demographics

  • CLIA Code: 45D2017978
  • Facility Name: WALGREENS #09041
  • Facility Address: 1701 9TH ST
    WICHITA FALLS, TX
    ZIP 76301
  • Facility Phone: 940 723-7979
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JUSTIN THOMAS
  • NPI Number: 1457366460
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2017978
LAB Type Pharmacy
Facility Name WALGREENS #09041
Street 1701 9TH ST
City WICHITA FALLS
State TX
ZIP 76301
Phone 940 723-7979
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 JUSTIN THOMAS

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