45D2021965 CLIA NUMBER - WALGREENS #03081

Home > CLIA Lookup > 45D2021965

Laboratory Demographics

CLIA Number: 45D2021965

Facility Name: WALGREENS #03081

Facility Address:
1408 N 16TH ST
ORANGE, TX
ZIP 77630
Get Directions

Facility Phone Number: 409 883-0876

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1972518074

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	45D2021965
LAB Type	Pharmacy
Facility Name	WALGREENS #03081
Street	1408 N 16TH ST
City	ORANGE
State	TX
ZIP	77630
Phone	409 883-0876
CertificateType	4
CertificateEffectiveDate	7/30/2023
CertificateExpirationDate	7/29/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024