45D2018003 CLIA NUMBER - WALGREENS #05092

Laboratory Demographics

  • CLIA Code: 45D2018003
  • Facility Name: WALGREENS #05092
  • Facility Address: 3418 MCKINNEY AVE
    DALLAS, TX
    ZIP 75204
  • Facility Phone: 214 922-9283
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KWAKU OBENG
  • NPI Number: 1205841277
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2018003
LAB Type Pharmacy
Facility Name WALGREENS #05092
Street 3418 MCKINNEY AVE
City DALLAS
State TX
ZIP 75204
Phone 214 922-9283
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/19/2025
Certificate Expiration Date 2/18/2027
Facility Type Pharmacy
Lab Director KWAKU OBENG

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