45D2072741 CLIA NUMBER - WALGREENS #04624

Laboratory Demographics

  • CLIA Code: 45D2072741
  • Facility Name: WALGREENS #04624
  • Facility Address: 1461 ROBERT B CULLUM BLVD
    DALLAS, TX
    ZIP 75210
  • Facility Phone: 214 421-0750
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RHONDA DENSON
  • NPI Number: 1306851340
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2072741
LAB Type Pharmacy
Facility Name WALGREENS #04624
Street 1461 ROBERT B CULLUM BLVD
City DALLAS
State TX
ZIP 75210
Phone 214 421-0750
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/29/2025
Certificate Expiration Date 6/28/2027
Facility Type Pharmacy
Lab Director RHONDA DENSON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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