45D2022639 CLIA NUMBER - WALGREENS #07354

Laboratory Demographics

  • CLIA Code: 45D2022639
  • Facility Name: WALGREENS #07354
  • Facility Address: 1330 N BELT LINE RD
    IRVING, TX
    ZIP 75061
  • Facility Phone: 469 417-0358
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ABDIKARIM N. OMAR
  • NPI Number: 1760499677
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2022639
LAB Type Pharmacy
Facility Name WALGREENS #07354
Street 1330 N BELT LINE RD
City IRVING
State TX
ZIP 75061
Phone 469 417-0358
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/18/2024
Certificate Expiration Date 5/17/2026
Facility Type Pharmacy
Lab Director ABDIKARIM N. OMAR

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