45D2021831 CLIA NUMBER - WALGREENS #04840

Laboratory Demographics

  • CLIA Code: 45D2021831
  • Facility Name: WALGREENS #04840
  • Facility Address: 2240 NORTHPARK DR
    KINGWOOD, TX
    ZIP 77339
  • Facility Phone: 281 358-5458
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MELANIE E. SOLON
  • NPI Number: 1891702890
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2021831
LAB Type Pharmacy
Facility Name WALGREENS #04840
Street 2240 NORTHPARK DR
City KINGWOOD
State TX
ZIP 77339
Phone 281 358-5458
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/29/2023
Certificate Expiration Date 7/28/2025
Facility Type Pharmacy
Lab Director MELANIE E. SOLON

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This page was last updated on: 6/4/2025