45D2073001 CLIA NUMBER - WALGREENS #03802

Laboratory Demographics

  • CLIA Code: 45D2073001
  • Facility Name: WALGREENS #03802
  • Facility Address: 2140 E CAMPBELL RD
    RICHARDSON, TX
    ZIP 75081
  • Facility Phone: 972 889-9102
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HANH LE
  • NPI Number: 1013922046
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2073001
LAB Type Pharmacy
Facility Name WALGREENS #03802
Street 2140 E CAMPBELL RD
City RICHARDSON
State TX
ZIP 75081
Phone 972 889-9102
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2025
Certificate Expiration Date 5/23/2027
Facility Type Pharmacy
Lab Director HANH LE

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This page was last updated on: 6/4/2025