45D2021837 CLIA NUMBER - WALGREENS #12377

Laboratory Demographics

  • CLIA Code: 45D2021837
  • Facility Name: WALGREENS #12377
  • Facility Address: 13631 TIDWELL RD
    HOUSTON, TX
    ZIP 77044
  • Facility Phone: 281 810-5204
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KEVIN MROHS
  • NPI Number: 1376782508
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2021837
LAB Type Pharmacy
Facility Name WALGREENS #12377
Street 13631 TIDWELL RD
City HOUSTON
State TX
ZIP 77044
Phone 281 810-5204
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/15/2025
Certificate Expiration Date 4/14/2027
Facility Type Pharmacy
Lab Director KEVIN MROHS

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