45D2013802 CLIA NUMBER - WALGREENS #03848

Laboratory Demographics

  • CLIA Code: 45D2013802
  • Facility Name: WALGREENS #03848
  • Facility Address: 3300 CENTER ST
    DEER PARK, TX
    ZIP 77536
  • Facility Phone: 281 479-3488
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LONG T. BUI
  • NPI Number: 1932114980
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2013802
LAB Type Pharmacy
Facility Name WALGREENS #03848
Street 3300 CENTER ST
City DEER PARK
State TX
ZIP 77536
Phone 281 479-3488
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/30/2023
Certificate Expiration Date 6/29/2025
Facility Type Pharmacy
Lab Director LONG T. BUI

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This page was last updated on: 3/20/2025