45D2013809 CLIA NUMBER - WALGREENS #07005

Laboratory Demographics

  • CLIA Code: 45D2013809
  • Facility Name: WALGREENS #07005
  • Facility Address: 16185 SPACE CENTER BLVD
    HOUSTON, TX
    ZIP 77062
  • Facility Phone: 281 486-1872
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: IJEOMA C. OMEKARA-NDUBUISI
  • NPI Number: 1851308761
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2013809
LAB Type Pharmacy
Facility Name WALGREENS #07005
Street 16185 SPACE CENTER BLVD
City HOUSTON
State TX
ZIP 77062
Phone 281 486-1872
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/30/2025
Certificate Expiration Date 6/29/2027
Facility Type Pharmacy
Lab Director IJEOMA C. OMEKARA-NDUBUISI

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