45D2074586 CLIA NUMBER - WALGREENS #04293

Laboratory Demographics

  • CLIA Code: 45D2074586
  • Facility Name: WALGREENS #04293
  • Facility Address: 734 E PLEASANT RUN RD
    DE SOTO, TX
    ZIP 75115
  • Facility Phone: 972 274-2178
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: YAMINI I. PATEL
  • NPI Number: 1194052449
  • Taxonomy: 183500000X - Pharmacist

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CLIA Record

Field Name Field Value
CLIA Number 45D2074586
LAB Type Pharmacy
Facility Name WALGREENS #04293
Street 734 E PLEASANT RUN RD
City DE SOTO
State TX
ZIP 75115
Phone 972 274-2178
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2025
Certificate Expiration Date 5/23/2027
Facility Type Pharmacy
Lab Director YAMINI I. PATEL

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