45D2021965 CLIA NUMBER - WALGREENS #03081

Laboratory Demographics

  • CLIA Code: 45D2021965
  • Facility Name: WALGREENS #03081
  • Facility Address: 1408 N 16TH ST
    ORANGE, TX
    ZIP 77630
  • Facility Phone: 409 883-0876
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STEPHEN T. OKWOR
  • NPI Number: 1972518074
  • Taxonomy: 333600000X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2025
Certificate Expiration Date 7/29/2027
Facility Type Pharmacy
Lab Director STEPHEN T. OKWOR

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