45D2013801 CLIA NUMBER - WALGREENS #05709

Laboratory Demographics

  • CLIA Code: 45D2013801
  • Facility Name: WALGREENS #05709
  • Facility Address: 16590 EL CAMINO REAL
    HOUSTON, TX
    ZIP 77062
  • Facility Phone: 281 488-3424
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHANNON B. EDWARDS
  • NPI Number: 1225045248
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2013801
LAB Type Pharmacy
Facility Name WALGREENS #05709
Street 16590 EL CAMINO REAL
City HOUSTON
State TX
ZIP 77062
Phone 281 488-3424
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2025
Certificate Expiration Date 5/25/2027
Facility Type Pharmacy
Lab Director SHANNON B. EDWARDS

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