45D2027498 CLIA NUMBER - WALGREENS #6782

Laboratory Demographics

  • CLIA Code: 45D2027498
  • Facility Name: WALGREENS #6782
  • Facility Address: 19215 INTERSTATE 45 S
    SHENANDOAH, TX
    ZIP 77385
  • Facility Phone: 281 419-6247
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HENRY EKOKOTU
  • NPI Number: 1417963869
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2027498
LAB Type Pharmacy
Facility Name WALGREENS #6782
Street 19215 INTERSTATE 45 S
City SHENANDOAH
State TX
ZIP 77385
Phone 281 419-6247
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/19/2025
Certificate Expiration Date 4/18/2027
Facility Type Pharmacy
Lab Director HENRY EKOKOTU

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