45D2016157 CLIA NUMBER - WALGREENS # 03570

Laboratory Demographics

  • CLIA Code: 45D2016157
  • Facility Name: WALGREENS # 03570
  • Facility Address: 890 N RESLER DR
    EL PASO, TX
    ZIP 79912
  • Facility Phone: 915 584-1359
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VICTOR MANUEL ROSALES
  • NPI Number: 1457366478
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2016157
LAB Type Pharmacy
Facility Name WALGREENS # 03570
Street 890 N RESLER DR
City EL PASO
State TX
ZIP 79912
Phone 915 584-1359
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2025
Certificate Expiration Date 6/23/2027
Facility Type Pharmacy
Lab Director VICTOR MANUEL ROSALES

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