45D2013711 CLIA NUMBER - WALGREENS #05094

Laboratory Demographics

  • CLIA Code: 45D2013711
  • Facility Name: WALGREENS #05094
  • Facility Address: 14616 MEMORIAL DR
    HOUSTON, TX
    ZIP 77079
  • Facility Phone: 281 493-3043
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JIMMY NGUYEN
  • NPI Number: 1609881606
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2013711
LAB Type Pharmacy
Facility Name WALGREENS #05094
Street 14616 MEMORIAL DR
City HOUSTON
State TX
ZIP 77079
Phone 281 493-3043
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/8/2025
Certificate Expiration Date 5/7/2027
Facility Type Pharmacy
Lab Director JIMMY NGUYEN

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