45D2038050 CLIA NUMBER - WALGREENS #03083

Laboratory Demographics

  • CLIA Code: 45D2038050
  • Facility Name: WALGREENS #03083
  • Facility Address: 10650 TOEPPERWEIN ROAD
    CONVERSE, TX
    ZIP 78109
  • Facility Phone: 210 659-8177
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: A KINGSLEY
  • NPI Number: 1689681694
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2038050
LAB Type Pharmacy
Facility Name WALGREENS #03083
Street 10650 TOEPPERWEIN ROAD
City CONVERSE
State TX
ZIP 78109
Phone 210 659-8177
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 A KINGSLEY

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