45D2228384 CLIA NUMBER - WALGREENS #07023

Laboratory Demographics

  • CLIA Code: 45D2228384
  • Facility Name: WALGREENS #07023
  • Facility Address: 2401 RANCH ROAD 620 S
    LAKEWAY, TX
    ZIP 78738
  • Facility Phone: 512 263-7887
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ASHISH A. PATEL
  • NPI Number: 1760669287
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2228384
LAB Type Pharmacy
Facility Name WALGREENS #07023
Street 2401 RANCH ROAD 620 S
City LAKEWAY
State TX
ZIP 78738
Phone 512 263-7887
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/25/2025
Certificate Expiration Date 6/24/2027
Facility Type Pharmacy
Lab Director ASHISH A. PATEL

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