45D2043005 CLIA NUMBER - WALGREENS 03424

Laboratory Demographics

  • CLIA Code: 45D2043005
  • Facility Name: WALGREENS 03424
  • Facility Address: 23110 ALDINE WESTFIELD RD
    SPRING, TX
    ZIP 77373
  • Facility Phone: 281 350-5311
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TANASHA L. MONTGOMERY
  • NPI Number: 1629083621
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2043005
LAB Type Pharmacy
Facility Name WALGREENS 03424
Street 23110 ALDINE WESTFIELD RD
City SPRING
State TX
ZIP 77373
Phone 281 350-5311
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2023
Certificate Expiration Date 8/14/2025
Facility Type Pharmacy
Lab Director TANASHA L. MONTGOMERY

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This page was last updated on: 6/4/2025