45D2038049 CLIA NUMBER - WALGREENS #2944

Laboratory Demographics

  • CLIA Code: 45D2038049
  • Facility Name: WALGREENS #2944
  • Facility Address: 7423 BROADWAY STREET
    SAN ANTONIO, TX
    ZIP 78209
  • Facility Phone: 210 821-6992
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: THOMAS B. GAGE
  • NPI Number: 1629083639
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2038049
LAB Type Pharmacy
Facility Name WALGREENS #2944
Street 7423 BROADWAY STREET
City SAN ANTONIO
State TX
ZIP 78209
Phone 210 821-6992
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/27/2025
Certificate Expiration Date 5/26/2027
Facility Type Pharmacy
Lab Director THOMAS B. GAGE

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