45D2071322 CLIA NUMBER - WALGREENS #13930

Laboratory Demographics

  • CLIA Code: 45D2071322
  • Facility Name: WALGREENS #13930
  • Facility Address: 11700 PRESTON RD STE 703
    DALLAS, TX
    ZIP 75230
  • Facility Phone: 214 750-4502
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ADAM RICHARD LEWIS
  • NPI Number: 1154604130
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2071322
LAB Type Pharmacy
Facility Name WALGREENS #13930
Street 11700 PRESTON RD STE 703
City DALLAS
State TX
ZIP 75230
Phone 214 750-4502
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/3/2025
Certificate Expiration Date 10/2/2027
Facility Type Pharmacy
Lab Director ADAM RICHARD LEWIS

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