45D2019959 CLIA NUMBER - WALGREENS #09366

Laboratory Demographics

  • CLIA Code: 45D2019959
  • Facility Name: WALGREENS #09366
  • Facility Address: 1211 US HIGHWAY 281
    MARBLE FALLS, TX
    ZIP 78654
  • Facility Phone: 830 693-8417
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AIMEE LUSSON
  • NPI Number: 1710992896
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2019959
LAB Type Pharmacy
Facility Name WALGREENS #09366
Street 1211 US HIGHWAY 281
City MARBLE FALLS
State TX
ZIP 78654
Phone 830 693-8417
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/8/2025
Certificate Expiration Date 3/7/2027
Facility Type Pharmacy
Lab Director AIMEE LUSSON

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