45D2012858 CLIA NUMBER - WALGREENS #06122

Laboratory Demographics

  • CLIA Code: 45D2012858
  • Facility Name: WALGREENS #06122
  • Facility Address: 215 ANDREWS HWY
    MIDLAND, TX
    ZIP 79701
  • Facility Phone: 915 479-9437
  • Facility Type: Other - COVID TESTING
  • Facility Type: Waiver
  • Lab Director: AHMED E. JALLAD
  • NPI Number: 1124033170
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2012858
LAB Type Other - COVID TESTING
Facility Name WALGREENS #06122
Street 215 ANDREWS HWY
City MIDLAND
State TX
ZIP 79701
Phone 915 479-9437
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2025
Certificate Expiration Date 1/17/2027
Facility Type Other - COVID TESTING
Lab Director AHMED E. JALLAD

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