45D2061747 CLIA NUMBER - WALGREENS #03825

Laboratory Demographics

  • CLIA Code: 45D2061747
  • Facility Name: WALGREENS #03825
  • Facility Address: 7151 GRAPEVINE HWY
    NORTH RICHLAND HILLS, TX
    ZIP 76180
  • Facility Phone: 817 514-9474
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SRAVANTHI LINGAM
  • NPI Number: 1104125574
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2061747
LAB Type Pharmacy
Facility Name WALGREENS #03825
Street 7151 GRAPEVINE HWY
City NORTH RICHLAND HILLS
State TX
ZIP 76180
Phone 817 514-9474
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2025
Certificate Expiration Date 5/23/2027
Facility Type Pharmacy
Lab Director SRAVANTHI LINGAM

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