45D2090609 CLIA NUMBER - WALGREENS 21499

Laboratory Demographics

  • CLIA Code: 45D2090609
  • Facility Name: WALGREENS 21499
  • Facility Address: 601 STATE HWY 110 NORTH, SUITE D1
    WHITEHOUSE, TX
    ZIP 75791
  • Facility Phone: 903 839-3715
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RICHARD G. RHODES
  • NPI Number: 1962180208
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2090609
LAB Type Pharmacy
Facility Name WALGREENS 21499
Street 601 STATE HWY 110 NORTH, SUITE D1
City WHITEHOUSE
State TX
ZIP 75791
Phone 903 839-3715
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 RICHARD G. RHODES

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