45D2090568 CLIA NUMBER - WALGREENS 21461

Laboratory Demographics

  • CLIA Code: 45D2090568
  • Facility Name: WALGREENS 21461
  • Facility Address: 521 SOUTH MAIN, SUITE B
    LINDALE, TX
    ZIP 75771
  • Facility Phone: 903 882-1309
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RICH KEY
  • NPI Number: 1336827815
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2090568
LAB Type Pharmacy
Facility Name WALGREENS 21461
Street 521 SOUTH MAIN, SUITE B
City LINDALE
State TX
ZIP 75771
Phone 903 882-1309
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2025
Certificate Expiration Date 1/26/2027
Facility Type Pharmacy
Lab Director RICH KEY

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