45D2228390 CLIA NUMBER - WALGREENS #04437

Laboratory Demographics

CLIA Number: 45D2228390

Facility Name: WALGREENS #04437

Facility Address:
3301 DENTON HWY
HALTOM CITY, TX
ZIP 76117
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Facility Phone Number: 817 222-9247

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1912241464

Taxonomy: 183500000X - Pharmacist
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

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
CertificateType	4
CertificateEffectiveDate	6/25/2023
CertificateExpirationDate	6/24/2025
FacilityType	Waiver

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