45D2053754 CLIA NUMBER - WALGREENS #15339

Laboratory Demographics

  • CLIA Code: 45D2053754
  • Facility Name: WALGREENS #15339
  • Facility Address: 18850 FM 1488 RD
    MAGNOLIA, TX
    ZIP 77355
  • Facility Phone: 281 259-8387
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRANDY L. ALSUP
  • NPI Number: 1487901047
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2053754
LAB Type Pharmacy
Facility Name WALGREENS #15339
Street 18850 FM 1488 RD
City MAGNOLIA
State TX
ZIP 77355
Phone 281 259-8387
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2025
Certificate Expiration Date 3/23/2027
Facility Type Pharmacy
Lab Director BRANDY L. ALSUP

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