45D2072169 CLIA NUMBER - WALGREENS #04578

Laboratory Demographics

  • CLIA Code: 45D2072169
  • Facility Name: WALGREENS #04578
  • Facility Address: 1101 CROSS TIMBERS RD
    FLOWER MOUND, TX
    ZIP 75028
  • Facility Phone: 972 355-5149
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JUSTIN THOMAS
  • NPI Number: 1205277555
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2072169
LAB Type Pharmacy
Facility Name WALGREENS #04578
Street 1101 CROSS TIMBERS RD
City FLOWER MOUND
State TX
ZIP 75028
Phone 972 355-5149
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/13/2025
Certificate Expiration Date 4/12/2027
Facility Type Pharmacy
Lab Director JUSTIN THOMAS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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