45D2012572 CLIA NUMBER - WALGREENS # 06145

Laboratory Demographics

  • CLIA Code: 45D2012572
  • Facility Name: WALGREENS # 06145
  • Facility Address: 3312 E 29TH ST
    BRYAN, TX
    ZIP 77802
  • Facility Phone: (979) 776-9128
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AIMEE LUSSON
  • NPI Number: 1003823980
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2012572
LAB Type Pharmacy
Facility Name WALGREENS # 06145
Street 3312 E 29TH ST
City BRYAN
State TX
ZIP 77802
Phone 9797769128
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/17/2025
Certificate Expiration Date 3/16/2027
Facility Type Pharmacy
Lab Director AIMEE LUSSON

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This page was last updated on: 5/18/2026