45D2072951 CLIA NUMBER - WALGREENS # 9410

Laboratory Demographics

  • CLIA Code: 45D2072951
  • Facility Name: WALGREENS # 9410
  • Facility Address: 1007 E TYLER ST
    ATHENS, TX
    ZIP 75751
  • Facility Phone: 903 675-0235
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JUSTIN THOMAS
  • NPI Number: 1427063510
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2072951
LAB Type Pharmacy
Facility Name WALGREENS # 9410
Street 1007 E TYLER ST
City ATHENS
State TX
ZIP 75751
Phone 903 675-0235
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 JUSTIN THOMAS

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