45D2076383 CLIA NUMBER - WALGREENS #07242

Laboratory Demographics

  • CLIA Code: 45D2076383
  • Facility Name: WALGREENS #07242
  • Facility Address: 3603 LAMAR AVE
    PARIS, TX
    ZIP 75460
  • Facility Phone: 903 785-5380
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TIM W. KOENIG
  • NPI Number: 1578578472
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2076383
LAB Type Pharmacy
Facility Name WALGREENS #07242
Street 3603 LAMAR AVE
City PARIS
State TX
ZIP 75460
Phone 903 785-5380
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2025
Certificate Expiration Date 7/27/2027
Facility Type Pharmacy
Lab Director TIM W. KOENIG

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