45D2016154 CLIA NUMBER - WALGREENS #09173

Laboratory Demographics

  • CLIA Code: 45D2016154
  • Facility Name: WALGREENS #09173
  • Facility Address: 8050 N MESA ST
    EL PASO, TX
    ZIP 79932
  • Facility Phone: 915 585-0491
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AHMED JALLED
  • NPI Number: 1619204328
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2016154
LAB Type Pharmacy
Facility Name WALGREENS #09173
Street 8050 N MESA ST
City EL PASO
State TX
ZIP 79932
Phone 915 585-0491
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/18/2025
Certificate Expiration Date 5/17/2027
Facility Type Pharmacy
Lab Director AHMED JALLED

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