45D2072748 CLIA NUMBER - WALGREENS #07542

Laboratory Demographics

  • CLIA Code: 45D2072748
  • Facility Name: WALGREENS #07542
  • Facility Address: 1700 S LOOP 288
    DENTON, TX
    ZIP 76205
  • Facility Phone: 940 220-0574
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: OSEI AKOTD BAFFOUR
  • NPI Number: 1447265525
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2072748
LAB Type Pharmacy
Facility Name WALGREENS #07542
Street 1700 S LOOP 288
City DENTON
State TX
ZIP 76205
Phone 940 220-0574
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2025
Certificate Expiration Date 5/20/2027
Facility Type Pharmacy
Lab Director OSEI AKOTD BAFFOUR

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