45D2021601 CLIA NUMBER - WALGREENS #13115

Laboratory Demographics

  • CLIA Code: 45D2021601
  • Facility Name: WALGREENS #13115
  • Facility Address: 3201 N BIG SPRING ST
    MIDLAND, TX
    ZIP 79705
  • Facility Phone: 432 686-0402
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AHMED JALLAD
  • NPI Number: 1144235243
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2021601
LAB Type Pharmacy
Facility Name WALGREENS #13115
Street 3201 N BIG SPRING ST
City MIDLAND
State TX
ZIP 79705
Phone 432 686-0402
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/9/2025
Certificate Expiration Date 3/8/2027
Facility Type Pharmacy
Lab Director AHMED JALLAD

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