45D2072650 CLIA NUMBER - WALGREENS #06196

Laboratory Demographics

  • CLIA Code: 45D2072650
  • Facility Name: WALGREENS #06196
  • Facility Address: 309 E END BLVD N
    MARSHALL, TX
    ZIP 75670
  • Facility Phone: (903) 923-0605
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AIMEE LUSSON
  • NPI Number: 1578578464
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2072650
LAB Type Pharmacy
Facility Name WALGREENS #06196
Street 309 E END BLVD N
City MARSHALL
State TX
ZIP 75670
Phone 9039230605
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/8/2025
Certificate Expiration Date 3/7/2027
Facility Type Pharmacy
Lab Director AIMEE LUSSON

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This page was last updated on: 5/18/2026