45D2015686 CLIA NUMBER - WALGREENS # 02458

Laboratory Demographics

CLIA Number: 45D2015686

Facility Name: WALGREENS # 02458

Facility Address:
7802 WURZBACH RD
SAN ANTONIO, TX
ZIP 78229
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Facility Phone Number: 210 614-3590

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1649285651

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 45D2015686
LAB Type Pharmacy
Facility Name WALGREENS # 02458
Street 7802 WURZBACH RD
City SAN ANTONIO
State TX
ZIP 78229
Phone 210 614-3590
CertificateType 4
CertificateEffectiveDate 4/5/2023
CertificateExpirationDate 4/4/2025
FacilityType Waiver

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