45D2249100 CLIA NUMBER - ALBERTSONS PHARMACY #4112

Laboratory Demographics

  • CLIA Code: 45D2249100
  • Facility Name: ALBERTSONS PHARMACY #4112
  • Facility Address: 3603 MCCANN RD
    LONGVIEW, TX
    ZIP 75605
  • Facility Phone: 903 663-2056
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JULIANN SPIER
  • NPI Number: 1881631349
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2249100
LAB Type Pharmacy
Facility Name ALBERTSONS PHARMACY #4112
Street 3603 MCCANN RD
City LONGVIEW
State TX
ZIP 75605
Phone 903 663-2056
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/19/2024
Certificate Expiration Date 1/18/2026
Facility Type Pharmacy
Lab Director JULIANN SPIER

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