45D2227938 CLIA NUMBER - WALGREENS #11566

Laboratory Demographics

  • CLIA Code: 45D2227938
  • Facility Name: WALGREENS #11566
  • Facility Address: 119 ED SCHMIDT BLVD
    HUTTO, TX
    ZIP 78634
  • Facility Phone: 512 759-3739
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DUSTIN S. HUTMACHER
  • NPI Number: 1548424906
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2227938
LAB Type Pharmacy
Facility Name WALGREENS #11566
Street 119 ED SCHMIDT BLVD
City HUTTO
State TX
ZIP 78634
Phone 512 759-3739
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/18/2025
Certificate Expiration Date 6/17/2027
Facility Type Pharmacy
Lab Director DUSTIN S. HUTMACHER

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