45D2021956 CLIA NUMBER - WALGREENS #12293

Laboratory Demographics

  • CLIA Code: 45D2021956
  • Facility Name: WALGREENS #12293
  • Facility Address: 203 W FERGUSON RD
    MOUNT PLEASANT, TX
    ZIP 75455
  • Facility Phone: 903 572-0486
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: OLIVER J. DROEFENU
  • NPI Number: 1952743197
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2021956
LAB Type Pharmacy
Facility Name WALGREENS #12293
Street 203 W FERGUSON RD
City MOUNT PLEASANT
State TX
ZIP 75455
Phone 903 572-0486
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/28/2025
Certificate Expiration Date 6/27/2027
Facility Type Pharmacy
Lab Director OLIVER J. DROEFENU

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