45D2073526 CLIA NUMBER - WALGREENS #04292

Laboratory Demographics

  • CLIA Code: 45D2073526
  • Facility Name: WALGREENS #04292
  • Facility Address: 4000 PRESTON RD
    PLANO, TX
    ZIP 75093
  • Facility Phone: 972 964-2470
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JUSTIN THOMAS
  • NPI Number: 1306851365
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2073526
LAB Type Pharmacy
Facility Name WALGREENS #04292
Street 4000 PRESTON RD
City PLANO
State TX
ZIP 75093
Phone 972 964-2470
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/5/2025
Certificate Expiration Date 4/4/2027
Facility Type Pharmacy
Lab Director JUSTIN THOMAS

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