45D2061794 CLIA NUMBER - WALGREENS #09648

Laboratory Demographics

  • CLIA Code: 45D2061794
  • Facility Name: WALGREENS #09648
  • Facility Address: 9101 WOODWAY DR
    WOODWAY, TX
    ZIP 76712
  • Facility Phone: 254 399-6892
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AIMEE LUSSON
  • NPI Number: 1205266244
  • Taxonomy: 183500000X - Pharmacist

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CLIA Record

Field Name Field Value
CLIA Number 45D2061794
LAB Type Pharmacy
Facility Name WALGREENS #09648
Street 9101 WOODWAY DR
City WOODWAY
State TX
ZIP 76712
Phone 254 399-6892
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/8/2025
Certificate Expiration Date 3/7/2027
Facility Type Pharmacy
Lab Director AIMEE LUSSON

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