45D2011772 CLIA NUMBER - WALGREENS #04550

Laboratory Demographics

  • CLIA Code: 45D2011772
  • Facility Name: WALGREENS #04550
  • Facility Address: 639 E HOPKINS ST
    SAN MARCOS, TX
    ZIP 78666
  • Facility Phone: 512 396-1335
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRIS MCMILLAN
  • NPI Number: 1689689622
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2011772
LAB Type Pharmacy
Facility Name WALGREENS #04550
Street 639 E HOPKINS ST
City SAN MARCOS
State TX
ZIP 78666
Phone 512 396-1335
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/5/2025
Certificate Expiration Date 4/4/2027
Facility Type Pharmacy
Lab Director CHRIS MCMILLAN

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