CLIA lab
CLIA 45D2013167: Walgreens #04131
Haltom City, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 45D2013167 belongs to Walgreens #04131 in Haltom City, TX.
Certificate of Waiver, effective April 13, 2025, expires April 12, 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
- April 13, 2025
- Certificate expiration
- April 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 15, 2010
- 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
- 45D2013167
- Lab name
- Walgreens #04131
- Address
- 4520 Western Center Blvd, Haltom City, TX 76137
- Phone
- (817) 514-8063
- Fax
- (817) 514-9570
Annual test volume the lab reported
- Waived tests
- 12,775
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Strategic Management TX LLCCertificate of Waiver, Physician office45D1043717
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Related
Questions
What is the CLIA number for Walgreens #04131 in Haltom City?
45D2013167, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walgreens #04131 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 45D2013167 expire?
The CMS file lists April 12, 2027 as the certificate expiration date; the certificate took effect April 13, 2025.