45D2059486 CLIA NUMBER - WALGREENS #05964

Laboratory Demographics

  • CLIA Code: 45D2059486
  • Facility Name: WALGREENS #05964
  • Facility Address: 3401 SAN PEDRO AVE
    SAN ANTONIO, TX
    ZIP 78212
  • Facility Phone: 210 738-2414
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RINKI JAIN
  • NPI Number: 1770590788
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2059486
LAB Type Pharmacy
Facility Name WALGREENS #05964
Street 3401 SAN PEDRO AVE
City SAN ANTONIO
State TX
ZIP 78212
Phone 210 738-2414
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/5/2025
Certificate Expiration Date 7/4/2027
Facility Type Pharmacy
Lab Director RINKI JAIN

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