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45D2017993 CLIA NUMBER - WALGREENS 03911

Laboratory Demographics

CLIA Number: 45D2017993

Facility Name: WALGREENS 03911

Facility Address:
2001 CUSTER RD
PLANO, TX
ZIP 75075
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Facility Phone Number: 972 599-1901

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1164916623

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 45D2017993
LAB Type Pharmacy
Facility Name WALGREENS 03911
Street 2001 CUSTER RD
City PLANO
State TX
ZIP 75075
Phone 972 599-1901
CertificateType 4
CertificateEffectiveDate 12/16/2022
CertificateExpirationDate 12/15/2024
FacilityType Waiver

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