45D2183942 CLIA NUMBER - WALGREENS #21514

Laboratory Demographics

  • CLIA Code: 45D2183942
  • Facility Name: WALGREENS #21514
  • Facility Address: 8929 S STATE HIGHWAY 34 SUITE B
    QUINLAN, TX
    ZIP 75474
  • Facility Phone: 903 356-6020
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KELLY M. WEAVER
  • NPI Number: 1700562964
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2183942
LAB Type Pharmacy
Facility Name WALGREENS #21514
Street 8929 S STATE HIGHWAY 34 SUITE B
City QUINLAN
State TX
ZIP 75474
Phone 903 356-6020
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 KELLY M. WEAVER

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