45D2073514 CLIA NUMBER - WALGREENS # 09721

Laboratory Demographics

  • CLIA Code: 45D2073514
  • Facility Name: WALGREENS # 09721
  • Facility Address: 1481 E MAIN ST
    MIDLOTHIAN, TX
    ZIP 76065
  • Facility Phone: 972 723-8408
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JUSTIN THOMAS
  • NPI Number: 1245245349
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2073514
LAB Type Pharmacy
Facility Name WALGREENS # 09721
Street 1481 E MAIN ST
City MIDLOTHIAN
State TX
ZIP 76065
Phone 972 723-8408
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