45D2215896 CLIA NUMBER - WALGREENS #10392

Laboratory Demographics

  • CLIA Code: 45D2215896
  • Facility Name: WALGREENS #10392
  • Facility Address: 100 LAKE RD
    BELTON, TX
    ZIP 76513
  • Facility Phone: 254 939-5628
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AIMEE P. LUSSON
  • NPI Number: 1134167034
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2215896
LAB Type Pharmacy
Facility Name WALGREENS #10392
Street 100 LAKE RD
City BELTON
State TX
ZIP 76513
Phone 254 939-5628
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/8/2025
Certificate Expiration Date 3/7/2027
Facility Type Pharmacy
Lab Director AIMEE P. LUSSON

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