45D2022200 CLIA NUMBER - WALGREENS #05093

Laboratory Demographics

  • CLIA Code: 45D2022200
  • Facility Name: WALGREENS #05093
  • Facility Address: 1306 N BECKLEY AVE
    DALLAS, TX
    ZIP 75203
  • Facility Phone: 214 948-3559
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRITTANY SUTTON
  • NPI Number: 1588679559
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2022200
LAB Type Pharmacy
Facility Name WALGREENS #05093
Street 1306 N BECKLEY AVE
City DALLAS
State TX
ZIP 75203
Phone 214 948-3559
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/29/2023
Certificate Expiration Date 6/28/2025
Facility Type Pharmacy
Lab Director BRITTANY SUTTON

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