45D2057944 CLIA NUMBER - WALGREENS #15187

Laboratory Demographics

  • CLIA Code: 45D2057944
  • Facility Name: WALGREENS #15187
  • Facility Address: 1005 N JUDGE ELY BLVD
    ABILENE, TX
    ZIP 79601
  • Facility Phone: 325 672-1842
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JUSTN THOMAS
  • NPI Number: 1194080267
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2057944
LAB Type Pharmacy
Facility Name WALGREENS #15187
Street 1005 N JUDGE ELY BLVD
City ABILENE
State TX
ZIP 79601
Phone 325 672-1842
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/9/2025
Certificate Expiration Date 4/8/2027
Facility Type Pharmacy
Lab Director JUSTN THOMAS

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