45D2212862 CLIA NUMBER - WALGREENS #10232

Laboratory Demographics

  • CLIA Code: 45D2212862
  • Facility Name: WALGREENS #10232
  • Facility Address: 4550 E PALM VALLEY BLVD
    ROUND ROCK, TX
    ZIP 78665
  • Facility Phone: 512 255-9230
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AIMEE LUSSON
  • NPI Number: 1033395744
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2212862
LAB Type Pharmacy
Facility Name WALGREENS #10232
Street 4550 E PALM VALLEY BLVD
City ROUND ROCK
State TX
ZIP 78665
Phone 512 255-9230
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