45D2061504 CLIA NUMBER - WALGREENS #6593

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Laboratory Demographics

CLIA Number: 45D2061504

Facility Name: WALGREENS #6593

Facility Address:
8651 BENBROOK BLVD
BENBROOK, TX
ZIP 76126
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Facility Phone Number: 817 249-5434

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1497760391

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

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
CertificateType	4
CertificateEffectiveDate	8/4/2023
CertificateExpirationDate	8/3/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024