45D2015803 CLIA NUMBER - WALGREENS # 2755

Laboratory Demographics

  • CLIA Code: 45D2015803
  • Facility Name: WALGREENS # 2755
  • Facility Address: 3065 RIGSBY AVE
    SAN ANTONIO, TX
    ZIP 78222
  • Facility Phone: 210 337-4282
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CLARISSA M. VAUGHN
  • NPI Number: 1093720013
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2015803
LAB Type Pharmacy
Facility Name WALGREENS # 2755
Street 3065 RIGSBY AVE
City SAN ANTONIO
State TX
ZIP 78222
Phone 210 337-4282
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/9/2025
Certificate Expiration Date 6/8/2027
Facility Type Pharmacy
Lab Director CLARISSA M. VAUGHN

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