45D2228069 CLIA NUMBER - WALGREENS #06649

Laboratory Demographics

  • CLIA Code: 45D2228069
  • Facility Name: WALGREENS #06649
  • Facility Address: 6911 RANCH ROAD 620 N
    AUSTIN, TX
    ZIP 78732
  • Facility Phone: 512 219-8533
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KAYLA M. HODGE
  • NPI Number: 1124033022
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2228069
LAB Type Pharmacy
Facility Name WALGREENS #06649
Street 6911 RANCH ROAD 620 N
City AUSTIN
State TX
ZIP 78732
Phone 512 219-8533
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2025
Certificate Expiration Date 6/21/2027
Facility Type Pharmacy
Lab Director KAYLA M. HODGE

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