45D2310306 CLIA NUMBER - WALGREENS 15966

Laboratory Demographics

  • CLIA Code: 45D2310306
  • Facility Name: WALGREENS 15966
  • Facility Address: 5301 W LOVERS LN
    DALLAS, TX
    ZIP 75209
  • Facility Phone: 214 416-3405
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KAITLYN TIEN VO
  • NPI Number: 1417694738
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2310306
LAB Type Pharmacy
Facility Name WALGREENS 15966
Street 5301 W LOVERS LN
City DALLAS
State TX
ZIP 75209
Phone 214 416-3405
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/30/2024
Certificate Expiration Date 8/29/2026
Facility Type Pharmacy
Lab Director KAITLYN TIEN VO

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