45D2021629 CLIA NUMBER - WALGREENS #11131

Laboratory Demographics

  • CLIA Code: 45D2021629
  • Facility Name: WALGREENS #11131
  • Facility Address: 200 S COLORADO ST
    LOCKHART, TX
    ZIP 78644
  • Facility Phone: 512 398-2920
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER R. MCMILLIAN
  • NPI Number: 1912193905
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2021629
LAB Type Pharmacy
Facility Name WALGREENS #11131
Street 200 S COLORADO ST
City LOCKHART
State TX
ZIP 78644
Phone 512 398-2920
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2025
Certificate Expiration Date 3/4/2027
Facility Type Pharmacy
Lab Director CHRISTOPHER R. MCMILLIAN

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