45D2077292 CLIA NUMBER - WALGREENS 04860

Laboratory Demographics

  • CLIA Code: 45D2077292
  • Facility Name: WALGREENS 04860
  • Facility Address: 510 E MAIN STREET
    ALLEN, TX
    ZIP 75002
  • Facility Phone: 972 727-6509
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JERRY D. HUFF
  • NPI Number: 1215942289
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2077292
LAB Type Pharmacy
Facility Name WALGREENS 04860
Street 510 E MAIN STREET
City ALLEN
State TX
ZIP 75002
Phone 972 727-6509
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2025
Certificate Expiration Date 8/14/2027
Facility Type Pharmacy
Lab Director JERRY D. HUFF

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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