45D2014017 CLIA NUMBER - WALGREENS #05765

Laboratory Demographics

  • CLIA Code: 45D2014017
  • Facility Name: WALGREENS #05765
  • Facility Address: 1223 S MAIN ST
    BOERNE, TX
    ZIP 78006
  • Facility Phone: 830 249-9565
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JANAINA MOREIRA
  • NPI Number: 1679588651
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2014017
LAB Type Pharmacy
Facility Name WALGREENS #05765
Street 1223 S MAIN ST
City BOERNE
State TX
ZIP 78006
Phone 830 249-9565
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2025
Certificate Expiration Date 3/3/2027
Facility Type Pharmacy
Lab Director JANAINA MOREIRA

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