45D2027487 CLIA NUMBER - WALGREENS #06864

Laboratory Demographics

  • CLIA Code: 45D2027487
  • Facility Name: WALGREENS #06864
  • Facility Address: 6707 FM 1488 RD
    MAGNOLIA, TX
    ZIP 77354
  • Facility Phone: 281 356-9164
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROSINA FOO
  • NPI Number: 1770598682
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2027487
LAB Type Pharmacy
Facility Name WALGREENS #06864
Street 6707 FM 1488 RD
City MAGNOLIA
State TX
ZIP 77354
Phone 281 356-9164
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2023
Certificate Expiration Date 5/25/2025
Facility Type Pharmacy
Lab Director ROSINA FOO

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This page was last updated on: 3/20/2025