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45D2017984 CLIA NUMBER - WALGREENS #06195

Laboratory Demographics

CLIA Number: 45D2017984

Facility Name: WALGREENS #06195

Facility Address:
4415 N STATE LINE AVE
TEXARKANA, TX
ZIP 75503
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Facility Phone Number: 903 792-8918

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1578891016

Taxonomy: 302R00000X - Health Maintenance Organization
(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.

CLIA Record

Field Name Field Value
CLIA Number 45D2017984
LAB Type Pharmacy
Facility Name WALGREENS #06195
Street 4415 N STATE LINE AVE
City TEXARKANA
State TX
ZIP 75503
Phone 903 792-8918
CertificateType 4
CertificateEffectiveDate 4/13/2023
CertificateExpirationDate 4/12/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024