45D2154897 CLIA NUMBER - WALGREENS 21559

Laboratory Demographics

  • CLIA Code: 45D2154897
  • Facility Name: WALGREENS 21559
  • Facility Address: 172 CENTENNIAL PARKWAY, SUITE 101
    TYLER, TX
    ZIP 75703
  • Facility Phone: 903 525-6923
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MEGAN RHYNE
  • NPI Number: 1962181552
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2154897
LAB Type Pharmacy
Facility Name WALGREENS 21559
Street 172 CENTENNIAL PARKWAY, SUITE 101
City TYLER
State TX
ZIP 75703
Phone 903 525-6923
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2024
Certificate Expiration Date 9/19/2026
Facility Type Pharmacy
Lab Director MEGAN RHYNE

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