45D2072201 CLIA NUMBER - WALGREENS #06663

Laboratory Demographics

  • CLIA Code: 45D2072201
  • Facility Name: WALGREENS #06663
  • Facility Address: 4201 E RENNER RD
    RICHARDSON, TX
    ZIP 75082
  • Facility Phone: 972 234-0889
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOCELYN THOMAS
  • NPI Number: 1316952211
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2072201
LAB Type Pharmacy
Facility Name WALGREENS #06663
Street 4201 E RENNER RD
City RICHARDSON
State TX
ZIP 75082
Phone 972 234-0889
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/6/2025
Certificate Expiration Date 8/5/2027
Facility Type Pharmacy
Lab Director JOCELYN THOMAS

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