45D2021631 CLIA NUMBER - WALGREENS #12517

Laboratory Demographics

  • CLIA Code: 45D2021631
  • Facility Name: WALGREENS #12517
  • Facility Address: 5781 KYLE PKWY
    KYLE, TX
    ZIP 78640
  • Facility Phone: 512 268-5749
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CAITLIN M. HORBACZ
  • NPI Number: 1932339637
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2021631
LAB Type Pharmacy
Facility Name WALGREENS #12517
Street 5781 KYLE PKWY
City KYLE
State TX
ZIP 78640
Phone 512 268-5749
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2025
Certificate Expiration Date 6/23/2027
Facility Type Pharmacy
Lab Director CAITLIN M. HORBACZ

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