45D2077285 CLIA NUMBER - WALGREENS #06197

Laboratory Demographics

  • CLIA Code: 45D2077285
  • Facility Name: WALGREENS #06197
  • Facility Address: 2401 W LEDBETTER DRIVE
    DALLAS, TX
    ZIP 75233
  • Facility Phone: 214 337-2126
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JUSTIN J. THOMAS
  • NPI Number: 1023023017
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2077285
LAB Type Pharmacy
Facility Name WALGREENS #06197
Street 2401 W LEDBETTER DRIVE
City DALLAS
State TX
ZIP 75233
Phone 214 337-2126
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/19/2025
Certificate Expiration Date 2/18/2027
Facility Type Pharmacy
Lab Director JUSTIN J. THOMAS

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