45D2022604 CLIA NUMBER - WALGREENS #02537

Laboratory Demographics

  • CLIA Code: 45D2022604
  • Facility Name: WALGREENS #02537
  • Facility Address: 1020 N COLLINS ST
    ARLINGTON, TX
    ZIP 76011
  • Facility Phone: 817 303-3275
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JITENDRA M. DEORA
  • NPI Number: 1982619060
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2022604
LAB Type Pharmacy
Facility Name WALGREENS #02537
Street 1020 N COLLINS ST
City ARLINGTON
State TX
ZIP 76011
Phone 817 303-3275
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 JITENDRA M. DEORA

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