45D2214586 CLIA NUMBER - WALGREENS #07674

Laboratory Demographics

  • CLIA Code: 45D2214586
  • Facility Name: WALGREENS #07674
  • Facility Address: 905 CRYSTAL FALLS PARKWAY
    LEANDER, TX
    ZIP 78641
  • Facility Phone: 512 528-0970
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AIMEE L. LUSSON
  • NPI Number: 1952316861
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2214586
LAB Type Pharmacy
Facility Name WALGREENS #07674
Street 905 CRYSTAL FALLS PARKWAY
City LEANDER
State TX
ZIP 78641
Phone 512 528-0970
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2025
Certificate Expiration Date 2/22/2027
Facility Type Pharmacy
Lab Director AIMEE L. LUSSON

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