45D2054922 CLIA NUMBER - WALGREENS #15140

Laboratory Demographics

  • CLIA Code: 45D2054922
  • Facility Name: WALGREENS #15140
  • Facility Address: 5317 WILLIAMS DR
    GEORGETOWN, TX
    ZIP 78633
  • Facility Phone: 512 868-2818
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHABREE M. ROBINSON
  • NPI Number: 1831445873
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2054922
LAB Type Pharmacy
Facility Name WALGREENS #15140
Street 5317 WILLIAMS DR
City GEORGETOWN
State TX
ZIP 78633
Phone 512 868-2818
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2025
Certificate Expiration Date 6/30/2027
Facility Type Pharmacy
Lab Director SHABREE M. ROBINSON

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