45D2023189 CLIA NUMBER - WALGREENS #06912

Laboratory Demographics

  • CLIA Code: 45D2023189
  • Facility Name: WALGREENS #06912
  • Facility Address: 3204 WILLIAMS DR
    GEORGETOWN, TX
    ZIP 78628
  • Facility Phone: 512 869-0157
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KRISTY L. SAKIRSKY
  • NPI Number: 1588679484
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2023189
LAB Type Pharmacy
Facility Name WALGREENS #06912
Street 3204 WILLIAMS DR
City GEORGETOWN
State TX
ZIP 78628
Phone 512 869-0157
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2025
Certificate Expiration Date 8/10/2027
Facility Type Pharmacy
Lab Director KRISTY L. SAKIRSKY

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