45D2015793 CLIA NUMBER - WALGREENS # 02636

Laboratory Demographics

  • CLIA Code: 45D2015793
  • Facility Name: WALGREENS # 02636
  • Facility Address: 2701 N NAVARRO ST
    VICTORIA, TX
    ZIP 77901
  • Facility Phone: 361 578-1581
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VI T. NGUYEN
  • NPI Number: 1508871690
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2015793
LAB Type Pharmacy
Facility Name WALGREENS # 02636
Street 2701 N NAVARRO ST
City VICTORIA
State TX
ZIP 77901
Phone 361 578-1581
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2025
Certificate Expiration Date 5/25/2027
Facility Type Pharmacy
Lab Director VI T. NGUYEN

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