45D2012842 CLIA NUMBER - WALGREENS #07293

Laboratory Demographics

  • CLIA Code: 45D2012842
  • Facility Name: WALGREENS #07293
  • Facility Address: 12 N ABE ST
    SAN ANGELO, TX
    ZIP 76903
  • Facility Phone: 325 658-3064
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL S. KINGSLEY
  • NPI Number: 1861407769
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2012842
LAB Type Pharmacy
Facility Name WALGREENS #07293
Street 12 N ABE ST
City SAN ANGELO
State TX
ZIP 76903
Phone 325 658-3064
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2025
Certificate Expiration Date 10/18/2027
Facility Type Pharmacy
Lab Director MICHAEL S. KINGSLEY

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