45D2024046 CLIA NUMBER - WALGREENS # 03846

Laboratory Demographics

CLIA Number: 45D2024046

Facility Name: WALGREENS # 03846

Facility Address:
2410 BALLPARK WAY
ARLINGTON, TX
ZIP 76006
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Facility Phone Number: 817 861-7661

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1922013952

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name Field Value
CLIA Number 45D2024046
LAB Type Pharmacy
Facility Name WALGREENS # 03846
Street 2410 BALLPARK WAY
City ARLINGTON
State TX
ZIP 76006
Phone 817 861-7661
CertificateType 4
CertificateEffectiveDate 12/16/2022
CertificateExpirationDate 12/15/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024