45D2072178 CLIA NUMBER - WALGREENS #05476

Laboratory Demographics

  • CLIA Code: 45D2072178
  • Facility Name: WALGREENS #05476
  • Facility Address: 1470 KELLER PKWY
    KELLER, TX
    ZIP 76248
  • Facility Phone: 817 431-5305
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CLAUDINE G. BOECK
  • NPI Number: 1841205820
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2072178
LAB Type Pharmacy
Facility Name WALGREENS #05476
Street 1470 KELLER PKWY
City KELLER
State TX
ZIP 76248
Phone 817 431-5305
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/11/2023
Certificate Expiration Date 10/10/2025
Facility Type Pharmacy
Lab Director CLAUDINE G. BOECK

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: 3/20/2025