45D2018006 CLIA NUMBER - WALGREENS #03885

Laboratory Demographics

  • CLIA Code: 45D2018006
  • Facility Name: WALGREENS #03885
  • Facility Address: 507 S CARRIER PKWY
    GRAND PRAIRIE, TX
    ZIP 75051
  • Facility Phone: 972 237-2121
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STANLEY U. NWOKORO
  • NPI Number: 1861407926
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2018006
LAB Type Pharmacy
Facility Name WALGREENS #03885
Street 507 S CARRIER PKWY
City GRAND PRAIRIE
State TX
ZIP 75051
Phone 972 237-2121
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2025
Certificate Expiration Date 5/25/2027
Facility Type Pharmacy
Lab Director STANLEY U. NWOKORO

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