45D0995525 CLIA NUMBER - WALGREENS #04934

Laboratory Demographics

  • CLIA Code: 45D0995525
  • Facility Name: WALGREENS #04934
  • Facility Address: 6017 INGRAM RD
    SAN ANTONIO, TX
    ZIP 78238
  • Facility Phone: 915 219-6772
  • Facility Type: Other - COVID TESTING
  • Facility Type: Waiver
  • Lab Director: CHRIS MCMILLAN
  • NPI Number: 1043225147
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D0995525
LAB Type Other - COVID TESTING
Facility Name WALGREENS #04934
Street 6017 INGRAM RD
City SAN ANTONIO
State TX
ZIP 78238
Phone 915 219-6772
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/20/2025
Certificate Expiration Date 1/19/2027
Facility Type Other - COVID TESTING
Lab Director CHRIS MCMILLAN

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