45D2017986 CLIA NUMBER - WALGREENS #05161

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Laboratory Demographics

CLIA Number: 45D2017986

Facility Name: WALGREENS #05161

Facility Address:
101 W UNIVERSITY DR
DENTON, TX
ZIP 76201
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Facility Phone Number: 940 384-0240

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1396750360

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	45D2017986
LAB Type	Pharmacy
Facility Name	WALGREENS #05161
Street	101 W UNIVERSITY DR
City	DENTON
State	TX
ZIP	76201
Phone	940 384-0240
CertificateType	4
CertificateEffectiveDate	10/11/2023
CertificateExpirationDate	10/10/2025
FacilityType	Waiver

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