45D2059419 CLIA NUMBER - WALGREENS # 12520

Laboratory Demographics

  • CLIA Code: 45D2059419
  • Facility Name: WALGREENS # 12520
  • Facility Address: 300 E HOUSTON STREET
    SAN ANTONIO, TX
    ZIP 78205
  • Facility Phone: 210 424-3462
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SAMIR N. BHAKTA
  • NPI Number: 1902030091
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2059419
LAB Type Pharmacy
Facility Name WALGREENS # 12520
Street 300 E HOUSTON STREET
City SAN ANTONIO
State TX
ZIP 78205
Phone 210 424-3462
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2025
Certificate Expiration Date 8/14/2027
Facility Type Pharmacy
Lab Director SAMIR N. BHAKTA

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