45D2214587 CLIA NUMBER - WALGREENS #10730

Laboratory Demographics

  • CLIA Code: 45D2214587
  • Facility Name: WALGREENS #10730
  • Facility Address: 400 E FM 2410 ROAD
    HARKER HEIGHTS, TX
    ZIP 76548
  • Facility Phone: 254 680-3499
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AIMEE L. LUSSON
  • NPI Number: 1013055938
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2214587
LAB Type Pharmacy
Facility Name WALGREENS #10730
Street 400 E FM 2410 ROAD
City HARKER HEIGHTS
State TX
ZIP 76548
Phone 254 680-3499
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