45D2067961 CLIA NUMBER - WALGREENS #5960

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Laboratory Demographics

CLIA Number: 45D2067961

Facility Name: WALGREENS #5960

Facility Address:
1103 W ROUND GROVE RD
LEWISVILLE, TX
ZIP 75067
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Facility Phone Number: 214 488-8680

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1790790871

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	45D2067961
LAB Type	Pharmacy
Facility Name	WALGREENS #5960
Street	1103 W ROUND GROVE RD
City	LEWISVILLE
State	TX
ZIP	75067
Phone	214 488-8680
CertificateType	4
CertificateEffectiveDate	6/22/2023
CertificateExpirationDate	6/21/2025
FacilityType	Waiver

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