45D2022614 CLIA NUMBER - WALGREENS #03941

Laboratory Demographics

  • CLIA Code: 45D2022614
  • Facility Name: WALGREENS #03941
  • Facility Address: 2200 E PIONEER PKWY
    ARLINGTON, TX
    ZIP 76010
  • Facility Phone: 817 860-9510
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JUSTIN THOMAS
  • NPI Number: 1568479509
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2022614
LAB Type Pharmacy
Facility Name WALGREENS #03941
Street 2200 E PIONEER PKWY
City ARLINGTON
State TX
ZIP 76010
Phone 817 860-9510
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/5/2025
Certificate Expiration Date 4/4/2027
Facility Type Pharmacy
Lab Director JUSTIN THOMAS

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This page was last updated on: 3/20/2025