45D2073532 CLIA NUMBER - WALGREENS #09323

Laboratory Demographics

  • CLIA Code: 45D2073532
  • Facility Name: WALGREENS #09323
  • Facility Address: 610 W MALLOY BRIDGE RD
    SEAGOVILLE, TX
    ZIP 75159
  • Facility Phone: 972 287-1134
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JUSTIN THOMAS
  • NPI Number: 1144436361
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2073532
LAB Type Pharmacy
Facility Name WALGREENS #09323
Street 610 W MALLOY BRIDGE RD
City SEAGOVILLE
State TX
ZIP 75159
Phone 972 287-1134
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

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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