45D2017997 CLIA NUMBER - WALGREENS 04013

Laboratory Demographics

  • CLIA Code: 45D2017997
  • Facility Name: WALGREENS 04013
  • Facility Address: 18207 MIDWAY RD
    DALLAS, TX
    ZIP 75287
  • Facility Phone: 972 307-7556
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAVID B. HOLLOWAY
  • NPI Number: 1205841251
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2017997
LAB Type Pharmacy
Facility Name WALGREENS 04013
Street 18207 MIDWAY RD
City DALLAS
State TX
ZIP 75287
Phone 972 307-7556
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/25/2025
Certificate Expiration Date 6/24/2027
Facility Type Pharmacy
Lab Director DAVID B. HOLLOWAY

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