CLIA lab

CLIA 45D2074586: Walgreens #04293

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

CLIA number 45D2074586 belongs to Walgreens #04293 in De Soto, TX.

Certificate of Waiver, effective May 24, 2025, expires May 23, 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
May 24, 2025
Certificate expiration
May 23, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
March 12, 2014
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
45D2074586
Lab name
Walgreens #04293
Address
734 E Pleasant Run Rd, De Soto, TX 75115
Phone
(972) 274-2178
Fax
(972) 274-1317

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.

Related

Questions

What is the CLIA number for Walgreens #04293 in De Soto?

45D2074586, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walgreens #04293 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 45D2074586 expire?

The CMS file lists May 23, 2027 as the certificate expiration date; the certificate took effect May 24, 2025.

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