45D2059488 CLIA NUMBER - WALGREENS #09205

Laboratory Demographics

  • CLIA Code: 45D2059488
  • Facility Name: WALGREENS #09205
  • Facility Address: 1309 HIGHWAY 35 N
    ROCKPORT, TX
    ZIP 78382
  • Facility Phone: 361 790-8706
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AARON LE
  • NPI Number: 1902811086
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2059488
LAB Type Pharmacy
Facility Name WALGREENS #09205
Street 1309 HIGHWAY 35 N
City ROCKPORT
State TX
ZIP 78382
Phone 361 790-8706
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 AARON LE

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