45D2021604 CLIA NUMBER - WALGREENS #13010

Laboratory Demographics

  • CLIA Code: 45D2021604
  • Facility Name: WALGREENS #13010
  • Facility Address: 2205 S E 34TH ST
    AMARILLO, TX
    ZIP 79103
  • Facility Phone: 806 373-1452
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AHMED D. JALLAD
  • NPI Number: 1174754345
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2021604
LAB Type Pharmacy
Facility Name WALGREENS #13010
Street 2205 S E 34TH ST
City AMARILLO
State TX
ZIP 79103
Phone 806 373-1452
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/9/2025
Certificate Expiration Date 3/8/2027
Facility Type Pharmacy
Lab Director AHMED D. JALLAD

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