45D2072619 CLIA NUMBER - WALGREENS #4719

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Laboratory Demographics

CLIA Number: 45D2072619

Facility Name: WALGREENS #4719

Facility Address:
5297 STATE HIGHWAY 121
THE COLONY, TX
ZIP 75056
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Facility Phone Number: 469 384-2220

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1841205747

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	45D2072619
LAB Type	Pharmacy
Facility Name	WALGREENS #4719
Street	5297 STATE HIGHWAY 121
City	THE COLONY
State	TX
ZIP	75056
Phone	469 384-2220
CertificateType	4
CertificateEffectiveDate	7/29/2023
CertificateExpirationDate	7/28/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024