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45D0995528 CLIA NUMBER - WALGREENS 3637

Laboratory Demographics

CLIA Number: 45D0995528

Facility Name: WALGREENS 3637

Facility Address:
5702 WEBER RD
CORPUS CHRISTI, TX
ZIP 78413
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Facility Phone Number: 361 855-4440

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1710992730

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name Field Value
CLIA Number 45D0995528
LAB Type Pharmacy
Facility Name WALGREENS 3637
Street 5702 WEBER RD
City CORPUS CHRISTI
State TX
ZIP 78413
Phone 361 855-4440
CertificateType 4
CertificateEffectiveDate 8/11/2023
CertificateExpirationDate 8/10/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024