CLIA lab

CLIA 45D1032937: Albertsons Pharmacy #4290

Azle, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 45D1032937 belongs to Albertsons Pharmacy #4290 in Azle, TX.

Certificate of Waiver, effective July 22, 2025, expires July 21, 2027.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
July 22, 2025
Certificate expiration
July 21, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
November 1, 2004
Facility type
Pharmacy
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
45D1032937
Lab name
Albertsons Pharmacy #4290
Address
480 Northwest Parkway, Azle, TX 76020
Phone
(817) 270-1120
Fax
(817) 270-1125

Annual test volume the lab reported

Waived tests
1,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Azle, TX

Related

Questions

What is the CLIA number for Albertsons Pharmacy #4290 in Azle?

45D1032937, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Albertsons Pharmacy #4290 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 45D1032937 expire?

The CMS file lists July 21, 2027 as the certificate expiration date; the certificate took effect July 22, 2025.

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