45D2021603 CLIA NUMBER - WALGREENS #05611

Laboratory Demographics

  • CLIA Code: 45D2021603
  • Facility Name: WALGREENS #05611
  • Facility Address: 801 N FILLMORE ST
    AMARILLO, TX
    ZIP 79107
  • Facility Phone: 806 371-8116
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STEVEN D. BROWN
  • NPI Number: 1396750378
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2021603
LAB Type Pharmacy
Facility Name WALGREENS #05611
Street 801 N FILLMORE ST
City AMARILLO
State TX
ZIP 79107
Phone 806 371-8116
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2025
Certificate Expiration Date 5/23/2027
Facility Type Pharmacy
Lab Director STEVEN D. BROWN

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