45D2038047 CLIA NUMBER - WALGREENS #7923

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Laboratory Demographics

CLIA Number: 45D2038047

Facility Name: WALGREENS #7923

Facility Address:
22114 BULVERDE ROAD
SAN ANTONIO, TX
ZIP 78259
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Facility Phone Number: 210 481-2517

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1679588735

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	45D2038047
LAB Type	Pharmacy
Facility Name	WALGREENS #7923
Street	22114 BULVERDE ROAD
City	SAN ANTONIO
State	TX
ZIP	78259
Phone	210 481-2517
CertificateType	4
CertificateEffectiveDate	6/9/2023
CertificateExpirationDate	6/8/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024