45D2018001 CLIA NUMBER - WALGREENS 07839

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Laboratory Demographics

CLIA Number: 45D2018001

Facility Name: WALGREENS 07839

Facility Address:
3802 CEDAR SPRINGS RD
DALLAS, TX
ZIP 75219
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Facility Phone Number: 214 443-5160

Facility Type: Other - COVID TESTING

Certificate Type: Waiver

NPI Number: 1922013085

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	45D2018001
LAB Type	Other - COVID TESTING
Facility Name	WALGREENS 07839
Street	3802 CEDAR SPRINGS RD
City	DALLAS
State	TX
ZIP	75219
Phone	214 443-5160
CertificateType	4
CertificateEffectiveDate	1/21/2023
CertificateExpirationDate	1/20/2025
FacilityType	Waiver

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