45D2031680 CLIA NUMBER - WALGREENS #11926

Laboratory Demographics

  • CLIA Code: 45D2031680
  • Facility Name: WALGREENS #11926
  • Facility Address: 200 W COMMERCE STREET
    BROWNWOOD, TX
    ZIP 76801
  • Facility Phone: 325 646-8923
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SULAIMAN B. BELLO
  • NPI Number: 1922254846
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2031680
LAB Type Pharmacy
Facility Name WALGREENS #11926
Street 200 W COMMERCE STREET
City BROWNWOOD
State TX
ZIP 76801
Phone 325 646-8923
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/6/2025
Certificate Expiration Date 4/5/2027
Facility Type Pharmacy
Lab Director SULAIMAN B. BELLO

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