45D2311001 CLIA NUMBER - WALGREENS 21431

Laboratory Demographics

  • CLIA Code: 45D2311001
  • Facility Name: WALGREENS 21431
  • Facility Address: 701 BUDDY HAYES BLVD
    ANNA, TX
    ZIP 75409
  • Facility Phone: 945 777-8046
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AZIA WASHINGTON
  • NPI Number: 1104504554
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2311001
LAB Type Pharmacy
Facility Name WALGREENS 21431
Street 701 BUDDY HAYES BLVD
City ANNA
State TX
ZIP 75409
Phone 945 777-8046
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2024
Certificate Expiration Date 9/15/2026
Facility Type Pharmacy
Lab Director AZIA WASHINGTON

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