45D2022258 CLIA NUMBER - WALGREENS #05509

Laboratory Demographics

  • CLIA Code: 45D2022258
  • Facility Name: WALGREENS #05509
  • Facility Address: 13260 JOSEY LANE, #100
    FARMERS BRANCH, TX
    ZIP 75234
  • Facility Phone: 972 247-3421
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KGOMOTSO MAGOSI
  • NPI Number: 1578578563
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2022258
LAB Type Pharmacy
Facility Name WALGREENS #05509
Street 13260 JOSEY LANE, #100
City FARMERS BRANCH
State TX
ZIP 75234
Phone 972 247-3421
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2025
Certificate Expiration Date 7/27/2027
Facility Type Pharmacy
Lab Director KGOMOTSO MAGOSI

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