45D2013804 CLIA NUMBER - WALGREENS #03735

Laboratory Demographics

  • CLIA Code: 45D2013804
  • Facility Name: WALGREENS #03735
  • Facility Address: 1919 W GRAY ST
    HOUSTON, TX
    ZIP 77019
  • Facility Phone: 713 526-3621
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CAMILLE M. BAKER
  • NPI Number: 1679588636
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2013804
LAB Type Pharmacy
Facility Name WALGREENS #03735
Street 1919 W GRAY ST
City HOUSTON
State TX
ZIP 77019
Phone 713 526-3621
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 CAMILLE M. BAKER

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