45D2072950 CLIA NUMBER - WALGREENS #05920

Laboratory Demographics

  • CLIA Code: 45D2072950
  • Facility Name: WALGREENS #05920
  • Facility Address: 1060 W CAMP WISDOM RD
    DALLAS, TX
    ZIP 75232
  • Facility Phone: 847 527-4238
  • Facility Type: Other - COVID-19 TEST SITE
  • Facility Type: Waiver
  • Lab Director: TEMITAYO DASILVA
  • NPI Number: 1205841194
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2072950
LAB Type Other - COVID-19 TEST SITE
Facility Name WALGREENS #05920
Street 1060 W CAMP WISDOM RD
City DALLAS
State TX
ZIP 75232
Phone 847 527-4238
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/24/2024
Certificate Expiration Date 4/23/2026
Facility Type Other - COVID-19 TEST SITE
Lab Director TEMITAYO DASILVA

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