45D2022189 CLIA NUMBER - WALGREENS #04607

Laboratory Demographics

  • CLIA Code: 45D2022189
  • Facility Name: WALGREENS #04607
  • Facility Address: 1520 S VALLEY MILLS DR
    BEVERLY HILLS, TX
    ZIP 76711
  • Facility Phone: 254 752-3986
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MITAL C. PATEL
  • NPI Number: 1013922178
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2022189
LAB Type Pharmacy
Facility Name WALGREENS #04607
Street 1520 S VALLEY MILLS DR
City BEVERLY HILLS
State TX
ZIP 76711
Phone 254 752-3986
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/29/2023
Certificate Expiration Date 7/28/2025
Facility Type Pharmacy
Lab Director MITAL C. PATEL

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This page was last updated on: 6/4/2025