45D2016158 CLIA NUMBER - WALGREENS #01293

Laboratory Demographics

  • CLIA Code: 45D2016158
  • Facility Name: WALGREENS #01293
  • Facility Address: 1210 WEDGEWOOD DR
    EL PASO, TX
    ZIP 79925
  • Facility Phone: 915 591-9496
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOLENE LETTUNICH
  • NPI Number: 1881601805
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2016158
LAB Type Pharmacy
Facility Name WALGREENS #01293
Street 1210 WEDGEWOOD DR
City EL PASO
State TX
ZIP 79925
Phone 915 591-9496
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 JOLENE LETTUNICH

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