45D2021964 CLIA NUMBER - WALGREENS #03507

Laboratory Demographics

  • CLIA Code: 45D2021964
  • Facility Name: WALGREENS #03507
  • Facility Address: 2126 NALL ST
    PORT NECHES, TX
    ZIP 77651
  • Facility Phone: 409 727-1426
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIRSTEN E. SAWYER
  • NPI Number: 1033124086
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2021964
LAB Type Pharmacy
Facility Name WALGREENS #03507
Street 2126 NALL ST
City PORT NECHES
State TX
ZIP 77651
Phone 409 727-1426
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/30/2025
Certificate Expiration Date 3/29/2027
Facility Type Pharmacy
Lab Director KIRSTEN E. SAWYER

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