45D2077293 CLIA NUMBER - WALGREENS #11320

Laboratory Demographics

  • CLIA Code: 45D2077293
  • Facility Name: WALGREENS #11320
  • Facility Address: 2774 E ELDORADO PKWY
    LITTLE ELM, TX
    ZIP 75068
  • Facility Phone: 972 987-4106
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CODY CRIBBS
  • NPI Number: 1053594705
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2077293
LAB Type Pharmacy
Facility Name WALGREENS #11320
Street 2774 E ELDORADO PKWY
City LITTLE ELM
State TX
ZIP 75068
Phone 972 987-4106
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2024
Certificate Expiration Date 12/16/2026
Facility Type Pharmacy
Lab Director CODY CRIBBS

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