45D2013708 CLIA NUMBER - WALGREENS #4696

Laboratory Demographics

  • CLIA Code: 45D2013708
  • Facility Name: WALGREENS #4696
  • Facility Address: 411 S MASON RD
    KATY, TX
    ZIP 77450
  • Facility Phone: 281 579-0910
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DUC HUY VU
  • NPI Number: 1194730101
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2013708
LAB Type Pharmacy
Facility Name WALGREENS #4696
Street 411 S MASON RD
City KATY
State TX
ZIP 77450
Phone 281 579-0910
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/3/2025
Certificate Expiration Date 10/2/2027
Facility Type Pharmacy
Lab Director DUC HUY VU

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