45D2013779 CLIA NUMBER - WALGREENS #06619

Laboratory Demographics

  • CLIA Code: 45D2013779
  • Facility Name: WALGREENS #06619
  • Facility Address: 1215 W 43RD ST
    HOUSTON, TX
    ZIP 77018
  • Facility Phone: 713 956-1827
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ZENA S. MATLOCK
  • NPI Number: 1346255346
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2013779
LAB Type Pharmacy
Facility Name WALGREENS #06619
Street 1215 W 43RD ST
City HOUSTON
State TX
ZIP 77018
Phone 713 956-1827
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/18/2025
Certificate Expiration Date 6/17/2027
Facility Type Pharmacy
Lab Director ZENA S. MATLOCK

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