45D2061513 CLIA NUMBER - WALGREENS #12356

Laboratory Demographics

  • CLIA Code: 45D2061513
  • Facility Name: WALGREENS #12356
  • Facility Address: 130 N OAKRIDGE DR
    HUDSON OAKS, TX
    ZIP 76087
  • Facility Phone: 817 594-7114
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JUSTIN J. THOMAS
  • NPI Number: 1689810103
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2061513
LAB Type Pharmacy
Facility Name WALGREENS #12356
Street 130 N OAKRIDGE DR
City HUDSON OAKS
State TX
ZIP 76087
Phone 817 594-7114
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 JUSTIN J. THOMAS

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: 9/29/2025