45D2077272 CLIA NUMBER - WALGREENS # 11514

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Laboratory Demographics

CLIA Number: 45D2077272

Facility Name: WALGREENS # 11514

Facility Address:
9807 WALNUT HILL LN
DALLAS, TX
ZIP 75238
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Facility Phone Number: 469 341-3908

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1750522546

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	45D2077272
LAB Type	Pharmacy
Facility Name	WALGREENS # 11514
Street	9807 WALNUT HILL LN
City	DALLAS
State	TX
ZIP	75238
Phone	469 341-3908
CertificateType	4
CertificateEffectiveDate	2/8/2023
CertificateExpirationDate	2/7/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024