45D2052067 CLIA NUMBER - WALGREENS #11725

Laboratory Demographics

  • CLIA Code: 45D2052067
  • Facility Name: WALGREENS #11725
  • Facility Address: 2070 W OAKLAWN RD
    PLEASANTON, TX
    ZIP 78064
  • Facility Phone: 830 569-3289
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROY CHANG
  • NPI Number: 1255506200
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2052067
LAB Type Pharmacy
Facility Name WALGREENS #11725
Street 2070 W OAKLAWN RD
City PLEASANTON
State TX
ZIP 78064
Phone 830 569-3289
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2025
Certificate Expiration Date 3/4/2027
Facility Type Pharmacy
Lab Director ROY CHANG

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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