45D2072750 CLIA NUMBER - WALGREENS #4821

Home > CLIA Lookup > 45D2072750

Laboratory Demographics

CLIA Number: 45D2072750

Facility Name: WALGREENS #4821

Facility Address:
3404 INDIANA AVE
LUBBOCK, TX
ZIP 79413
Get Directions

Facility Phone Number: 806 792-7531

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1861407801

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	45D2072750
LAB Type	Pharmacy
Facility Name	WALGREENS #4821
Street	3404 INDIANA AVE
City	LUBBOCK
State	TX
ZIP	79413
Phone	806 792-7531
CertificateType	4
CertificateEffectiveDate	8/2/2023
CertificateExpirationDate	8/1/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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