45D2061505 CLIA NUMBER - WALGREENS #09040

Laboratory Demographics

  • CLIA Code: 45D2061505
  • Facility Name: WALGREENS #09040
  • Facility Address: 2315 W WASHINGTON ST
    STEPHENVILLE, TX
    ZIP 76401
  • Facility Phone: 254 965-2587
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VINCENT J. LEINHAUSER
  • NPI Number: 1275548356
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2061505
LAB Type Pharmacy
Facility Name WALGREENS #09040
Street 2315 W WASHINGTON ST
City STEPHENVILLE
State TX
ZIP 76401
Phone 254 965-2587
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2025
Certificate Expiration Date 3/4/2027
Facility Type Pharmacy
Lab Director VINCENT J. LEINHAUSER

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