45D2022293 CLIA NUMBER - WALGREENS 03638

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Laboratory Demographics

CLIA Number: 45D2022293

Facility Name: WALGREENS 03638

Facility Address:
5601 SARATOGA BLVD
CORPUS CHRISTI, TX
ZIP 78414
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Facility Phone Number: 361 980-0501

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1992710917

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	45D2022293
LAB Type	Pharmacy
Facility Name	WALGREENS 03638
Street	5601 SARATOGA BLVD
City	CORPUS CHRISTI
State	TX
ZIP	78414
Phone	361 980-0501
CertificateType	4
CertificateEffectiveDate	5/27/2023
CertificateExpirationDate	5/26/2025
FacilityType	Waiver

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