45D2228390 CLIA NUMBER - WALGREENS #04437

Laboratory Demographics

  • CLIA Code: 45D2228390
  • Facility Name: WALGREENS #04437
  • Facility Address: 3301 DENTON HWY
    HALTOM CITY, TX
    ZIP 76117
  • Facility Phone: 817 222-9247
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAVID A. THEDFORD
  • NPI Number: 1912241464
  • Taxonomy: 183500000X - Pharmacist

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CLIA Record

Field Name Field Value
CLIA Number 45D2228390
LAB Type Pharmacy
Facility Name WALGREENS #04437
Street 3301 DENTON HWY
City HALTOM CITY
State TX
ZIP 76117
Phone 817 222-9247
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 DAVID A. THEDFORD

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