45D2077291 CLIA NUMBER - WALGREENS #3220

Laboratory Demographics

  • CLIA Code: 45D2077291
  • Facility Name: WALGREENS #3220
  • Facility Address: 2800 SOUTHWEST PKWY
    WICHITA FALLS, TX
    ZIP 76308
  • Facility Phone: 940 692-3421
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JUSTIN J. THOMAS
  • NPI Number: 1750396727
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2077291
LAB Type Pharmacy
Facility Name WALGREENS #3220
Street 2800 SOUTHWEST PKWY
City WICHITA FALLS
State TX
ZIP 76308
Phone 940 692-3421
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/10/2025
Certificate Expiration Date 3/9/2027
Facility Type Pharmacy
Lab Director JUSTIN J. THOMAS

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