45D2073534 CLIA NUMBER - WALGREENS #04818

Laboratory Demographics

  • CLIA Code: 45D2073534
  • Facility Name: WALGREENS #04818
  • Facility Address: 8801 LAKEVIEW PKWY
    ROWLETT, TX
    ZIP 75088
  • Facility Phone: 972 463-8224
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JUSTIN THOMAS
  • NPI Number: 1922015940
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2073534
LAB Type Pharmacy
Facility Name WALGREENS #04818
Street 8801 LAKEVIEW PKWY
City ROWLETT
State TX
ZIP 75088
Phone 972 463-8224
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/13/2025
Certificate Expiration Date 4/12/2027
Facility Type Pharmacy
Lab Director JUSTIN THOMAS

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