45D2072616 CLIA NUMBER - WALGREENS #03921

Laboratory Demographics

  • CLIA Code: 45D2072616
  • Facility Name: WALGREENS #03921
  • Facility Address: 10001 N MACARTHUR BLVD
    IRVING, TX
    ZIP 75063
  • Facility Phone: 972 501-9202
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JUSTIN THOMAS
  • NPI Number: 1215403811
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2072616
LAB Type Pharmacy
Facility Name WALGREENS #03921
Street 10001 N MACARTHUR BLVD
City IRVING
State TX
ZIP 75063
Phone 972 501-9202
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/5/2025
Certificate Expiration Date 4/4/2027
Facility Type Pharmacy
Lab Director JUSTIN THOMAS

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