45D2013337 CLIA NUMBER - WALGREENS #11814

Laboratory Demographics

  • CLIA Code: 45D2013337
  • Facility Name: WALGREENS #11814
  • Facility Address: 101 S WASHINGTON AVE
    CLEVELAND, TX
    ZIP 77327
  • Facility Phone: 281 592-0491
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EBENEZER ASARE
  • NPI Number: 1902084114
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2013337
LAB Type Pharmacy
Facility Name WALGREENS #11814
Street 101 S WASHINGTON AVE
City CLEVELAND
State TX
ZIP 77327
Phone 281 592-0491
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2025
Certificate Expiration Date 3/23/2027
Facility Type Pharmacy
Lab Director EBENEZER ASARE

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