45D2231131 CLIA NUMBER - WALGREENS #09680

Laboratory Demographics

  • CLIA Code: 45D2231131
  • Facility Name: WALGREENS #09680
  • Facility Address: 1610 N MAIN ST
    TAYLOR, TX
    ZIP 76574
  • Facility Phone: 512 352-3469
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL A. CLEMONS
  • NPI Number: 1790790889
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2231131
LAB Type Pharmacy
Facility Name WALGREENS #09680
Street 1610 N MAIN ST
City TAYLOR
State TX
ZIP 76574
Phone 512 352-3469
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2025
Certificate Expiration Date 7/29/2027
Facility Type Pharmacy
Lab Director MICHAEL A. CLEMONS

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