45D2022158 CLIA NUMBER - WALGREENS # 07783

Laboratory Demographics

  • CLIA Code: 45D2022158
  • Facility Name: WALGREENS # 07783
  • Facility Address: 2301 LAKELAND DRIVE
    DALLAS, TX
    ZIP 75228
  • Facility Phone: 214 321-0197
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MAN K. NGUYEN
  • NPI Number: 1174538250
  • Taxonomy: 333600000X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/3/2025
Certificate Expiration Date 8/2/2027
Facility Type Pharmacy
Lab Director MAN K. NGUYEN

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