45D2061508 CLIA NUMBER - WALGREENS # 9023

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Laboratory Demographics

CLIA Number: 45D2061508

Facility Name: WALGREENS # 9023

Facility Address:
901 S CROWLEY ROAD
CROWLEY, TX
ZIP 76036
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Facility Phone Number: 817 297-1734

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1437164514

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	45D2061508
LAB Type	Pharmacy
Facility Name	WALGREENS # 9023
Street	901 S CROWLEY ROAD
City	CROWLEY
State	TX
ZIP	76036
Phone	817 297-1734
CertificateType	4
CertificateEffectiveDate	6/25/2023
CertificateExpirationDate	6/24/2025
FacilityType	Waiver

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