45D2020643 CLIA NUMBER - WALGREENS #03796

Laboratory Demographics

  • CLIA Code: 45D2020643
  • Facility Name: WALGREENS #03796
  • Facility Address: 6795 CALDER AVE
    BEAUMONT, TX
    ZIP 77706
  • Facility Phone: 409 860-3909
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JUNIOUS POWELL
  • NPI Number: 1508873480
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2020643
LAB Type Pharmacy
Facility Name WALGREENS #03796
Street 6795 CALDER AVE
City BEAUMONT
State TX
ZIP 77706
Phone 409 860-3909
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 JUNIOUS POWELL

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