45D2060938 CLIA NUMBER - WALGREENS # 10839

Laboratory Demographics

  • CLIA Code: 45D2060938
  • Facility Name: WALGREENS # 10839
  • Facility Address: 704 S ADAMS ST
    FREDERICKSBURG, TX
    ZIP 78624
  • Facility Phone: 830 990-5089
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER R. MCMILLAN
  • NPI Number: 1689893067
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2060938
LAB Type Pharmacy
Facility Name WALGREENS # 10839
Street 704 S ADAMS ST
City FREDERICKSBURG
State TX
ZIP 78624
Phone 830 990-5089
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/8/2025
Certificate Expiration Date 3/7/2027
Facility Type Pharmacy
Lab Director CHRISTOPHER R. MCMILLAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 3/20/2025