45D2021966 CLIA NUMBER - WALGREENS #12601

Laboratory Demographics

  • CLIA Code: 45D2021966
  • Facility Name: WALGREENS #12601
  • Facility Address: 1000 W FRANK AVE
    LUFKIN, TX
    ZIP 75904
  • Facility Phone: 936 634-7083
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AIMEE LUSSON
  • NPI Number: 1154569366
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2021966
LAB Type Pharmacy
Facility Name WALGREENS #12601
Street 1000 W FRANK AVE
City LUFKIN
State TX
ZIP 75904
Phone 936 634-7083
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 AIMEE LUSSON

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