45D2226401 CLIA NUMBER - WALGREENS #10613

Laboratory Demographics

CLIA Number: 45D2226401

Facility Name: WALGREENS #10613

Facility Address:
32320 STATE HIGHWAY 249
PINEHURST, TX
ZIP 77362
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Facility Phone Number: 832 934-0415

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1093898868

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	45D2226401
LAB Type	Pharmacy
Facility Name	WALGREENS #10613
Street	32320 STATE HIGHWAY 249
City	PINEHURST
State	TX
ZIP	77362
Phone	832 934-0415
CertificateType	4
CertificateEffectiveDate	5/28/2023
CertificateExpirationDate	5/27/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024