45D2072403 CLIA NUMBER - WALGREENS #11519

Laboratory Demographics

  • CLIA Code: 45D2072403
  • Facility Name: WALGREENS #11519
  • Facility Address: 2007 N GOLIAD STREET
    ROCKWALL, TX
    ZIP 75087
  • Facility Phone: 214 771-3209
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL A. JOHNSTONE
  • NPI Number: 1417195629
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2072403
LAB Type Pharmacy
Facility Name WALGREENS #11519
Street 2007 N GOLIAD STREET
City ROCKWALL
State TX
ZIP 75087
Phone 214 771-3209
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2025
Certificate Expiration Date 5/25/2027
Facility Type Pharmacy
Lab Director MICHAEL A. JOHNSTONE

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