45D2018006 CLIA NUMBER - WALGREENS #03885

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Laboratory Demographics

CLIA Number: 45D2018006

Facility Name: WALGREENS #03885

Facility Address:
507 S CARRIER PKWY
GRAND PRAIRIE, TX
ZIP 75051
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Facility Phone Number: 972 237-2121

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1861407926

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	45D2018006
LAB Type	Pharmacy
Facility Name	WALGREENS #03885
Street	507 S CARRIER PKWY
City	GRAND PRAIRIE
State	TX
ZIP	75051
Phone	972 237-2121
CertificateType	4
CertificateEffectiveDate	5/26/2023
CertificateExpirationDate	5/25/2025
FacilityType	Waiver

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