45D2071324 CLIA NUMBER - WALGREENS #05710

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Laboratory Demographics

CLIA Number: 45D2071324

Facility Name: WALGREENS #05710

Facility Address:
18410 PRESTON RD
DALLAS, TX
ZIP 75252
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Facility Phone Number: 972 599-1004

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1023023009

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	45D2071324
LAB Type	Pharmacy
Facility Name	WALGREENS #05710
Street	18410 PRESTON RD
City	DALLAS
State	TX
ZIP	75252
Phone	972 599-1004
CertificateType	4
CertificateEffectiveDate	12/16/2022
CertificateExpirationDate	12/15/2024
FacilityType	Waiver

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