45D2015673 CLIA NUMBER - WALGREENS #03141

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Laboratory Demographics

CLIA Number: 45D2015673

Facility Name: WALGREENS #03141

Facility Address:
1105 GOLIAD RD
SAN ANTONIO, TX
ZIP 78223
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Facility Phone Number: 210 533-7602

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1942217955

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	45D2015673
LAB Type	Pharmacy
Facility Name	WALGREENS #03141
Street	1105 GOLIAD RD
City	SAN ANTONIO
State	TX
ZIP	78223
Phone	210 533-7602
CertificateType	4
CertificateEffectiveDate	6/9/2023
CertificateExpirationDate	6/8/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024