45D2231081 CLIA NUMBER - WALGREENS #15967

Laboratory Demographics

CLIA Number: 45D2231081

Facility Name: WALGREENS #15967

Facility Address:
750 W WHEATLAND RD
DUNCANVILLE, TX
ZIP 75116
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Facility Phone Number: 972 572-2423

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1487669412

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	45D2231081
LAB Type	Pharmacy
Facility Name	WALGREENS #15967
Street	750 W WHEATLAND RD
City	DUNCANVILLE
State	TX
ZIP	75116
Phone	972 572-2423
CertificateType	4
CertificateEffectiveDate	7/29/2023
CertificateExpirationDate	7/28/2025
FacilityType	Waiver

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