45D2183555 CLIA NUMBER - WALGREENS # 21484

Laboratory Demographics

  • CLIA Code: 45D2183555
  • Facility Name: WALGREENS # 21484
  • Facility Address: 1310 NORTH BRAZOS STE 200
    WHITNEY, TX
    ZIP 76692
  • Facility Phone: 254 694-4413
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LISA D. CANNON
  • NPI Number: 1255017406
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2183555
LAB Type Pharmacy
Facility Name WALGREENS # 21484
Street 1310 NORTH BRAZOS STE 200
City WHITNEY
State TX
ZIP 76692
Phone 254 694-4413
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/6/2024
Certificate Expiration Date 5/5/2026
Facility Type Pharmacy
Lab Director LISA D. CANNON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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