45D2072743 CLIA NUMBER - WALGREENS #04459

Laboratory Demographics

  • CLIA Code: 45D2072743
  • Facility Name: WALGREENS #04459
  • Facility Address: 8120 S COCKRELL HILL RD
    DALLAS, TX
    ZIP 75236
  • Facility Phone: 972 283-1473
  • Facility Type: Other - COVID TESTING SITE
  • Facility Type: Waiver
  • Lab Director: SOVONG MEY
  • NPI Number: 1225043292
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2072743
LAB Type Other - COVID TESTING SITE
Facility Name WALGREENS #04459
Street 8120 S COCKRELL HILL RD
City DALLAS
State TX
ZIP 75236
Phone 972 283-1473
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/11/2024
Certificate Expiration Date 9/10/2026
Facility Type Other - COVID TESTING SITE
Lab Director SOVONG MEY

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