45D2073504 CLIA NUMBER - WALGREENS #09104

Laboratory Demographics

  • CLIA Code: 45D2073504
  • Facility Name: WALGREENS #09104
  • Facility Address: 1828 TEXOMA PKWY
    SHERMAN, TX
    ZIP 75090
  • Facility Phone: 903 868-2620
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JUSTIN THOMAS
  • NPI Number: 1073757142
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2073504
LAB Type Pharmacy
Facility Name WALGREENS #09104
Street 1828 TEXOMA PKWY
City SHERMAN
State TX
ZIP 75090
Phone 903 868-2620
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2025
Certificate Expiration Date 3/4/2027
Facility Type Pharmacy
Lab Director JUSTIN THOMAS

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