45D2021607 CLIA NUMBER - WALGREENS #02462

Laboratory Demographics

  • CLIA Code: 45D2021607
  • Facility Name: WALGREENS #02462
  • Facility Address: 1144 AIRPORT BLVD
    AUSTIN, TX
    ZIP 78702
  • Facility Phone: 512 929-0691
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARY A. WALKER
  • NPI Number: 1801801816
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2021607
LAB Type Pharmacy
Facility Name WALGREENS #02462
Street 1144 AIRPORT BLVD
City AUSTIN
State TX
ZIP 78702
Phone 512 929-0691
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2023
Certificate Expiration Date 8/9/2025
Facility Type Pharmacy
Lab Director MARY A. WALKER

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This page was last updated on: 6/4/2025