45D2183564 CLIA NUMBER - WALGREENS 21522

Laboratory Demographics

  • CLIA Code: 45D2183564
  • Facility Name: WALGREENS 21522
  • Facility Address: 1010 AVENUE E
    CISCO, TX
    ZIP 76437
  • Facility Phone: 254 442-2587
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KAREN M. HILL
  • NPI Number: 1285310516
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2183564
LAB Type Pharmacy
Facility Name WALGREENS 21522
Street 1010 AVENUE E
City CISCO
State TX
ZIP 76437
Phone 254 442-2587
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 KAREN M. HILL

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