45D2021829 CLIA NUMBER - WALGREENS #06182

Laboratory Demographics

  • CLIA Code: 45D2021829
  • Facility Name: WALGREENS #06182
  • Facility Address: 15111 WALLISVILLE RD
    HOUSTON, TX
    ZIP 77049
  • Facility Phone: 281 458-6342
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EMMANUEL ISIDRO
  • NPI Number: 1104831189
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2021829
LAB Type Pharmacy
Facility Name WALGREENS #06182
Street 15111 WALLISVILLE RD
City HOUSTON
State TX
ZIP 77049
Phone 281 458-6342
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2025
Certificate Expiration Date 7/27/2027
Facility Type Pharmacy
Lab Director EMMANUEL ISIDRO

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