45D2067961 CLIA NUMBER - WALGREENS #5960

Laboratory Demographics

  • CLIA Code: 45D2067961
  • Facility Name: WALGREENS #5960
  • Facility Address: 1103 W ROUND GROVE RD
    LEWISVILLE, TX
    ZIP 75067
  • Facility Phone: 214 488-8680
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACQUELINE A. NEFF
  • NPI Number: 1790790871
  • Taxonomy: 333600000X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2025
Certificate Expiration Date 6/21/2027
Facility Type Pharmacy
Lab Director JACQUELINE A. NEFF

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