45D2283002 CLIA NUMBER - ALBERTSONS PHARMACY #0036

Laboratory Demographics

  • CLIA Code: 45D2283002
  • Facility Name: ALBERTSONS PHARMACY #0036
  • Facility Address: 2200 W SHADY GROVE RD
    IRVING, TX
    ZIP 75060
  • Facility Phone: (972) 374-5100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JULIANN SPIER
  • NPI Number: 1447995170
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2283002
LAB Type Physician Office
Facility Name ALBERTSONS PHARMACY #0036
Street 2200 W SHADY GROVE RD
City IRVING
State TX
ZIP 75060
Phone 9723745100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/31/2025
Certificate Expiration Date 5/30/2027
Facility Type Physician Office
Lab Director JULIANN SPIER

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This page was last updated on: 5/18/2026