45D2072844 CLIA NUMBER - WALGREENS #11910

Laboratory Demographics

  • CLIA Code: 45D2072844
  • Facility Name: WALGREENS #11910
  • Facility Address: 1130 S BROADWAY STREET
    SULPHUR SPRINGS, TX
    ZIP 75482
  • Facility Phone: 903 438-2435
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANGEL N. BROWN
  • NPI Number: 1225294622
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2072844
LAB Type Pharmacy
Facility Name WALGREENS #11910
Street 1130 S BROADWAY STREET
City SULPHUR SPRINGS
State TX
ZIP 75482
Phone 903 438-2435
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/8/2025
Certificate Expiration Date 3/7/2027
Facility Type Pharmacy
Lab Director ANGEL N. BROWN

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