45D2073511 CLIA NUMBER - WALGREENS #4340

Laboratory Demographics

  • CLIA Code: 45D2073511
  • Facility Name: WALGREENS #4340
  • Facility Address: 2614 LAVON DR
    GARLAND, TX
    ZIP 75040
  • Facility Phone: 972 530-1438
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHIBUIKE OGUANOBI
  • NPI Number: 1932114998
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2073511
LAB Type Pharmacy
Facility Name WALGREENS #4340
Street 2614 LAVON DR
City GARLAND
State TX
ZIP 75040
Phone 972 530-1438
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/2/2025
Certificate Expiration Date 8/1/2027
Facility Type Pharmacy
Lab Director CHIBUIKE OGUANOBI

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