45D2091773 CLIA NUMBER - WALGREENS #21462

Laboratory Demographics

  • CLIA Code: 45D2091773
  • Facility Name: WALGREENS #21462
  • Facility Address: 959 EAST LENNON DR # 2
    EMORY, TX
    ZIP 75440
  • Facility Phone: 903 473-4523
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: YOGESH PATEL
  • NPI Number: 1487330635
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2091773
LAB Type Pharmacy
Facility Name WALGREENS #21462
Street 959 EAST LENNON DR # 2
City EMORY
State TX
ZIP 75440
Phone 903 473-4523
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/19/2025
Certificate Expiration Date 2/18/2027
Facility Type Pharmacy
Lab Director YOGESH PATEL

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