45D2059536 CLIA NUMBER - WALGREENS # 4373

Laboratory Demographics

CLIA Number: 45D2059536

Facility Name: WALGREENS # 4373

Facility Address:
1001 LOOP 274
ANGLETON, TX
ZIP 77515
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Facility Phone Number: 979 849-2347

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1316952419

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 45D2059536
LAB Type Pharmacy
Facility Name WALGREENS # 4373
Street 1001 LOOP 274
City ANGLETON
State TX
ZIP 77515
Phone 979 849-2347
CertificateType 4
CertificateEffectiveDate 3/22/2023
CertificateExpirationDate 3/21/2025
FacilityType Waiver

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