45D2077289 CLIA NUMBER - WALGREENS #06661

Laboratory Demographics

  • CLIA Code: 45D2077289
  • Facility Name: WALGREENS #06661
  • Facility Address: 4600 KELL BLVD
    WICHITA FALLS, TX
    ZIP 76310
  • Facility Phone: 940 692-4610
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JESSICA SMITH
  • NPI Number: 1215942115
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2077289
LAB Type Pharmacy
Facility Name WALGREENS #06661
Street 4600 KELL BLVD
City WICHITA FALLS
State TX
ZIP 76310
Phone 940 692-4610
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2025
Certificate Expiration Date 5/20/2027
Facility Type Pharmacy
Lab Director JESSICA SMITH

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