45D2027504 CLIA NUMBER - WALGREENS #10919

Laboratory Demographics

  • CLIA Code: 45D2027504
  • Facility Name: WALGREENS #10919
  • Facility Address: 18900 HIGHWAY 105 W
    MONTGOMERY, TX
    ZIP 77356
  • Facility Phone: 936 582-0002
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KATHY P. ESPADA
  • NPI Number: 1285871988
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2027504
LAB Type Pharmacy
Facility Name WALGREENS #10919
Street 18900 HIGHWAY 105 W
City MONTGOMERY
State TX
ZIP 77356
Phone 936 582-0002
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2025
Certificate Expiration Date 3/21/2027
Facility Type Pharmacy
Lab Director KATHY P. ESPADA

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