45D2077272 CLIA NUMBER - WALGREENS # 11514

Laboratory Demographics

  • CLIA Code: 45D2077272
  • Facility Name: WALGREENS # 11514
  • Facility Address: 9807 WALNUT HILL LN
    DALLAS, TX
    ZIP 75238
  • Facility Phone: 469 341-3908
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JUSTIN THOMAS
  • NPI Number: 1750522546
  • Taxonomy: 333600000X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2025
Certificate Expiration Date 2/7/2027
Facility Type Pharmacy
Lab Director JUSTIN THOMAS

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This page was last updated on: 6/4/2025