45D2073513 CLIA NUMBER - WALGREENS #09224

Laboratory Demographics

  • CLIA Code: 45D2073513
  • Facility Name: WALGREENS #09224
  • Facility Address: 4324 GOLDEN TRIANGLE BLVD
    FORT WORTH, TX
    ZIP 76244
  • Facility Phone: 817 431-0616
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: THANH T. HUA
  • NPI Number: 1568477628
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2073513
LAB Type Pharmacy
Facility Name WALGREENS #09224
Street 4324 GOLDEN TRIANGLE BLVD
City FORT WORTH
State TX
ZIP 76244
Phone 817 431-0616
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2025
Certificate Expiration Date 5/20/2027
Facility Type Pharmacy
Lab Director THANH T. HUA

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