45D2059416 CLIA NUMBER - WALGREENS #3634

Laboratory Demographics

  • CLIA Code: 45D2059416
  • Facility Name: WALGREENS #3634
  • Facility Address: 3326 FREDERICKSBURG ROAD
    SAN ANTONIO, TX
    ZIP 78201
  • Facility Phone: 210 732-1621
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSEPH A. RANCOUR
  • NPI Number: 1851306807
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2059416
LAB Type Pharmacy
Facility Name WALGREENS #3634
Street 3326 FREDERICKSBURG ROAD
City SAN ANTONIO
State TX
ZIP 78201
Phone 210 732-1621
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/5/2025
Certificate Expiration Date 4/4/2027
Facility Type Pharmacy
Lab Director JOSEPH A. RANCOUR

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: 9/29/2025