45D2059488 CLIA NUMBER - WALGREENS #09205

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Laboratory Demographics

CLIA Number: 45D2059488

Facility Name: WALGREENS #09205

Facility Address:
1309 HIGHWAY 35 N
ROCKPORT, TX
ZIP 78382
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Facility Phone Number: 361 790-8706

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1902811086

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

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
CertificateType	4
CertificateEffectiveDate	4/5/2023
CertificateExpirationDate	4/4/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024