45D2230704 CLIA NUMBER - WALGREENS #11097

Laboratory Demographics

  • CLIA Code: 45D2230704
  • Facility Name: WALGREENS #11097
  • Facility Address: 5819 BURNET RD
    AUSTIN, TX
    ZIP 78756
  • Facility Phone: 512 687-2212
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEVEN T. JONES
  • NPI Number: 1710126164
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2230704
LAB Type Physician Office
Facility Name WALGREENS #11097
Street 5819 BURNET RD
City AUSTIN
State TX
ZIP 78756
Phone 512 687-2212
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/27/2025
Certificate Expiration Date 7/26/2027
Facility Type Physician Office
Lab Director STEVEN T. JONES

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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