45D2061515 CLIA NUMBER - WALGREENS # 3878

Laboratory Demographics

  • CLIA Code: 45D2061515
  • Facility Name: WALGREENS # 3878
  • Facility Address: 3425 SYCAMORE SCHOOL RD
    FORT WORTH, TX
    ZIP 76123
  • Facility Phone: 817 370-0505
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARY T. NGUYEN
  • NPI Number: 1437164522
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2061515
LAB Type Pharmacy
Facility Name WALGREENS # 3878
Street 3425 SYCAMORE SCHOOL RD
City FORT WORTH
State TX
ZIP 76123
Phone 817 370-0505
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/29/2025
Certificate Expiration Date 6/28/2027
Facility Type Pharmacy
Lab Director MARY T. NGUYEN

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