45D2046865 CLIA NUMBER - WALGREENS #5996

Laboratory Demographics

  • CLIA Code: 45D2046865
  • Facility Name: WALGREENS #5996
  • Facility Address: 2417 82ND ST
    LUBBOCK, TX
    ZIP 79423
  • Facility Phone: 806 748-5209
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AHMED JALLAD
  • NPI Number: 1114932001
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2046865
LAB Type Pharmacy
Facility Name WALGREENS #5996
Street 2417 82ND ST
City LUBBOCK
State TX
ZIP 79423
Phone 806 748-5209
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2025
Certificate Expiration Date 3/3/2027
Facility Type Pharmacy
Lab Director AHMED JALLAD

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