45D2022158 CLIA NUMBER - WALGREENS # 07783

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Laboratory Demographics

CLIA Number: 45D2022158

Facility Name: WALGREENS # 07783

Facility Address:
2301 LAKELAND DRIVE
DALLAS, TX
ZIP 75228
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Facility Phone Number: 214 321-0197

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1174538250

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	45D2022158
LAB Type	Pharmacy
Facility Name	WALGREENS # 07783
Street	2301 LAKELAND DRIVE
City	DALLAS
State	TX
ZIP	75228
Phone	214 321-0197
CertificateType	4
CertificateEffectiveDate	8/3/2023
CertificateExpirationDate	8/2/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024