45D2017993 CLIA NUMBER - WALGREENS 03911

Laboratory Demographics

  • CLIA Code: 45D2017993
  • Facility Name: WALGREENS 03911
  • Facility Address: 2001 CUSTER RD
    PLANO, TX
    ZIP 75075
  • Facility Phone: 972 599-1901
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PUJA S. PATEL
  • NPI Number: 1164916623
  • Taxonomy: 333600000X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/16/2024
Certificate Expiration Date 12/15/2026
Facility Type Pharmacy
Lab Director PUJA S. PATEL

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