45D2018005 CLIA NUMBER - WALGREENS 06660

Laboratory Demographics

  • CLIA Code: 45D2018005
  • Facility Name: WALGREENS 06660
  • Facility Address: 5742 E MOCKINGBIRD LN
    DALLAS, TX
    ZIP 75206
  • Facility Phone: 214 826-7136
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BARRY C. NZEGWU
  • NPI Number: 1760497663
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2018005
LAB Type Pharmacy
Facility Name WALGREENS 06660
Street 5742 E MOCKINGBIRD LN
City DALLAS
State TX
ZIP 75206
Phone 214 826-7136
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 BARRY C. NZEGWU

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