45D2324040 CLIA NUMBER - ALBERTSONS PHARMACY #0030

Laboratory Demographics

  • CLIA Code: 45D2324040
  • Facility Name: ALBERTSONS PHARMACY #0030
  • Facility Address: 13671 EASTLAKE BLVD
    HORIZON CITY, TX
    ZIP 79928
  • Facility Phone: 915 337-3190
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JULIANN SPIER
  • NPI Number: 1841020146
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2324040
LAB Type Physician Office
Facility Name ALBERTSONS PHARMACY #0030
Street 13671 EASTLAKE BLVD
City HORIZON CITY
State TX
ZIP 79928
Phone 915 337-3190
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/16/2025
Certificate Expiration Date 5/15/2027
Facility Type Physician Office
Lab Director JULIANN SPIER

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