45D2030343 CLIA NUMBER - WALGREENS #09808

Laboratory Demographics

  • CLIA Code: 45D2030343
  • Facility Name: WALGREENS #09808
  • Facility Address: 2612 SMITH ST
    HOUSTON, TX
    ZIP 77006
  • Facility Phone: 713 529-2969
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHOEB B. ALI
  • NPI Number: 1871508960
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2030343
LAB Type Pharmacy
Facility Name WALGREENS #09808
Street 2612 SMITH ST
City HOUSTON
State TX
ZIP 77006
Phone 713 529-2969
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2025
Certificate Expiration Date 3/2/2027
Facility Type Pharmacy
Lab Director SHOEB B. ALI

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