45D2061504 CLIA NUMBER - WALGREENS #6593

Laboratory Demographics

  • CLIA Code: 45D2061504
  • Facility Name: WALGREENS #6593
  • Facility Address: 8651 BENBROOK BLVD
    BENBROOK, TX
    ZIP 76126
  • Facility Phone: 817 249-5434
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CRYSTAL ANDERSON
  • NPI Number: 1497760391
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2061504
LAB Type Pharmacy
Facility Name WALGREENS #6593
Street 8651 BENBROOK BLVD
City BENBROOK
State TX
ZIP 76126
Phone 817 249-5434
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/4/2025
Certificate Expiration Date 8/3/2027
Facility Type Pharmacy
Lab Director CRYSTAL ANDERSON

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