45D2309457 CLIA NUMBER - WALGREENS 21519

Laboratory Demographics

  • CLIA Code: 45D2309457
  • Facility Name: WALGREENS 21519
  • Facility Address: 1301 SOUTH MORGAN STREET
    GRANBURY, TX
    ZIP 76048
  • Facility Phone: 817 279-9840
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEFF S. WARD
  • NPI Number: 1649958125
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2309457
LAB Type Pharmacy
Facility Name WALGREENS 21519
Street 1301 SOUTH MORGAN STREET
City GRANBURY
State TX
ZIP 76048
Phone 817 279-9840
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2024
Certificate Expiration Date 8/14/2026
Facility Type Pharmacy
Lab Director JEFF S. WARD

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