45D2035053 CLIA NUMBER - WALGREENS #15086

Laboratory Demographics

  • CLIA Code: 45D2035053
  • Facility Name: WALGREENS #15086
  • Facility Address: 6560 FANNIN ST, #260
    HOUSTON, TX
    ZIP 77030
  • Facility Phone: 713 797-1410
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMEE R. PATEL
  • NPI Number: 1225363054
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2035053
LAB Type Pharmacy
Facility Name WALGREENS #15086
Street 6560 FANNIN ST, #260
City HOUSTON
State TX
ZIP 77030
Phone 713 797-1410
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2024
Certificate Expiration Date 1/9/2026
Facility Type Pharmacy
Lab Director AMEE R. PATEL

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