45D2013226 CLIA NUMBER - WALGREENS #04513

Laboratory Demographics

  • CLIA Code: 45D2013226
  • Facility Name: WALGREENS #04513
  • Facility Address: 1403 FM 1960 RD W
    HOUSTON, TX
    ZIP 77090
  • Facility Phone: 281 444-1201
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SARAH T. BUI
  • NPI Number: 1689689788
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2013226
LAB Type Pharmacy
Facility Name WALGREENS #04513
Street 1403 FM 1960 RD W
City HOUSTON
State TX
ZIP 77090
Phone 281 444-1201
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2025
Certificate Expiration Date 5/23/2027
Facility Type Pharmacy
Lab Director SARAH T. BUI

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