45D2072746 CLIA NUMBER - WALGREENS #11567

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Laboratory Demographics

CLIA Number: 45D2072746

Facility Name: WALGREENS #11567

Facility Address:
26731 US HIGHWAY 380 E
AUBREY, TX
ZIP 76227
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Facility Phone Number: 972 347-5112

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1245412931

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	45D2072746
LAB Type	Pharmacy
Facility Name	WALGREENS #11567
Street	26731 US HIGHWAY 380 E
City	AUBREY
State	TX
ZIP	76227
Phone	972 347-5112
CertificateType	4
CertificateEffectiveDate	6/25/2023
CertificateExpirationDate	6/24/2025
FacilityType	Waiver

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