45D2018008 CLIA NUMBER - WALGREENS #04746

Laboratory Demographics

  • CLIA Code: 45D2018008
  • Facility Name: WALGREENS #04746
  • Facility Address: 3400 N BELT LINE RD
    IRVING, TX
    ZIP 75062
  • Facility Phone: 972 594-1648
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAMES TONG
  • NPI Number: 1205841269
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2018008
LAB Type Pharmacy
Facility Name WALGREENS #04746
Street 3400 N BELT LINE RD
City IRVING
State TX
ZIP 75062
Phone 972 594-1648
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2025
Certificate Expiration Date 10/18/2027
Facility Type Pharmacy
Lab Director JAMES TONG

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