45D2183916 CLIA NUMBER - WALGREENS 21474

Laboratory Demographics

  • CLIA Code: 45D2183916
  • Facility Name: WALGREENS 21474
  • Facility Address: 1400 WEST MOORE STREET
    TERRELL, TX
    ZIP 75160
  • Facility Phone: 972 563-2692
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: COURTNEY STEPHENS
  • NPI Number: 1538847827
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2183916
LAB Type Pharmacy
Facility Name WALGREENS 21474
Street 1400 WEST MOORE STREET
City TERRELL
State TX
ZIP 75160
Phone 972 563-2692
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2024
Certificate Expiration Date 5/11/2026
Facility Type Pharmacy
Lab Director COURTNEY STEPHENS

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