45D2059493 CLIA NUMBER - WALGREENS # 06335

Laboratory Demographics

  • CLIA Code: 45D2059493
  • Facility Name: WALGREENS # 06335
  • Facility Address: 14025 NACOGDOCHES ROAD
    SAN ANTONIO, TX
    ZIP 78217
  • Facility Phone: 210 656-5041
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LORI D. GROFF
  • NPI Number: 1225043136
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2059493
LAB Type Pharmacy
Facility Name WALGREENS # 06335
Street 14025 NACOGDOCHES ROAD
City SAN ANTONIO
State TX
ZIP 78217
Phone 210 656-5041
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2024
Certificate Expiration Date 5/20/2026
Facility Type Pharmacy
Lab Director LORI D. GROFF

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