45D2037491 CLIA NUMBER - ALBERTSONS PHARMACY #0232

Laboratory Demographics

  • CLIA Code: 45D2037491
  • Facility Name: ALBERTSONS PHARMACY #0232
  • Facility Address: 3563 ALTON ROAD
    FORT WORTH, TX
    ZIP 76109
  • Facility Phone: 817 548-1516
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JULIANN SPIER
  • NPI Number: 1114251774
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2037491
LAB Type Pharmacy
Facility Name ALBERTSONS PHARMACY #0232
Street 3563 ALTON ROAD
City FORT WORTH
State TX
ZIP 76109
Phone 817 548-1516
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/29/2024
Certificate Expiration Date 2/27/2026
Facility Type Pharmacy
Lab Director JULIANN SPIER

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