45D2215711 CLIA NUMBER - WALGREENS #12029

Laboratory Demographics

  • CLIA Code: 45D2215711
  • Facility Name: WALGREENS #12029
  • Facility Address: 27495 RANCH ROAD 12
    DRIPPING SPRINGS, TX
    ZIP 78620
  • Facility Phone: 512 858-1984
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER R. MCMILLAN
  • NPI Number: 1487895710
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2215711
LAB Type Physician Office
Facility Name WALGREENS #12029
Street 27495 RANCH ROAD 12
City DRIPPING SPRINGS
State TX
ZIP 78620
Phone 512 858-1984
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2025
Certificate Expiration Date 3/4/2027
Facility Type Physician Office
Lab Director CHRISTOPHER R. MCMILLAN

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