45D2013807 CLIA NUMBER - WALGREENS #04133

Laboratory Demographics

  • CLIA Code: 45D2013807
  • Facility Name: WALGREENS #04133
  • Facility Address: 3707 SPENCER HWY
    PASADENA, TX
    ZIP 77504
  • Facility Phone: 713 946-4650
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHINWE EWUDO
  • NPI Number: 1306851381
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2013807
LAB Type Pharmacy
Facility Name WALGREENS #04133
Street 3707 SPENCER HWY
City PASADENA
State TX
ZIP 77504
Phone 713 946-4650
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2025
Certificate Expiration Date 5/24/2027
Facility Type Pharmacy
Lab Director CHINWE EWUDO

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