45D2022208 CLIA NUMBER - WALGREENS #06120

Laboratory Demographics

  • CLIA Code: 45D2022208
  • Facility Name: WALGREENS #06120
  • Facility Address: 9937 GARLAND ROAD
    DALLAS, TX
    ZIP 75218
  • Facility Phone: 252 559-1121
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JIJU ABRAHAM
  • NPI Number: 1588679575
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2022208
LAB Type Pharmacy
Facility Name WALGREENS #06120
Street 9937 GARLAND ROAD
City DALLAS
State TX
ZIP 75218
Phone 252 559-1121
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/25/2025
Certificate Expiration Date 6/24/2027
Facility Type Pharmacy
Lab Director JIJU ABRAHAM

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