45D2072153 CLIA NUMBER - WALGREENS #04899

Laboratory Demographics

  • CLIA Code: 45D2072153
  • Facility Name: WALGREENS #04899
  • Facility Address: 5201 BUFFALO GAP RD
    ABILENE, TX
    ZIP 79606
  • Facility Phone: 325 695-8664
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HOLLY N. TRANTHUM
  • NPI Number: 1689689655
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2072153
LAB Type Pharmacy
Facility Name WALGREENS #04899
Street 5201 BUFFALO GAP RD
City ABILENE
State TX
ZIP 79606
Phone 325 695-8664
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2025
Certificate Expiration Date 8/13/2027
Facility Type Pharmacy
Lab Director HOLLY N. TRANTHUM

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