45D2038373 CLIA NUMBER - WALGREENS #04100

Laboratory Demographics

  • CLIA Code: 45D2038373
  • Facility Name: WALGREENS #04100
  • Facility Address: 51 DIXIE DR
    CLUTE, TX
    ZIP 77531
  • Facility Phone: 979 265-2517
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ABID GHAFOOR
  • NPI Number: 1497760599
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2038373
LAB Type Pharmacy
Facility Name WALGREENS #04100
Street 51 DIXIE DR
City CLUTE
State TX
ZIP 77531
Phone 979 265-2517
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2025
Certificate Expiration Date 3/21/2027
Facility Type Pharmacy
Lab Director ABID GHAFOOR

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