45D2021962 CLIA NUMBER - WALGREENS #11275

Laboratory Demographics

  • CLIA Code: 45D2021962
  • Facility Name: WALGREENS #11275
  • Facility Address: 4746 TWIN CITY HWY
    GROVES, TX
    ZIP 77619
  • Facility Phone: 409 960-6394
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ASIL ALKAHIL
  • NPI Number: 1285827782
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2021962
LAB Type Pharmacy
Facility Name WALGREENS #11275
Street 4746 TWIN CITY HWY
City GROVES
State TX
ZIP 77619
Phone 409 960-6394
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2025
Certificate Expiration Date 5/23/2027
Facility Type Pharmacy
Lab Director ASIL ALKAHIL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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