45D2212854 CLIA NUMBER - WALGREENS #01970

Laboratory Demographics

  • CLIA Code: 45D2212854
  • Facility Name: WALGREENS #01970
  • Facility Address: 3407 WELLS BRANCH PKWY
    AUSTIN, TX
    ZIP 78728
  • Facility Phone: 512 388-1539
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AIMEE LUSSON
  • NPI Number: 1184639262
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2212854
LAB Type Pharmacy
Facility Name WALGREENS #01970
Street 3407 WELLS BRANCH PKWY
City AUSTIN
State TX
ZIP 78728
Phone 512 388-1539
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2025
Certificate Expiration Date 2/7/2027
Facility Type Pharmacy
Lab Director AIMEE LUSSON

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