45D2059536 CLIA NUMBER - WALGREENS #04373

Laboratory Demographics

  • CLIA Code: 45D2059536
  • Facility Name: WALGREENS #04373
  • Facility Address: 1001 LOOP 274
    ANGLETON, TX
    ZIP 77515
  • Facility Phone: 979 849-2347
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HELEN AYENI
  • NPI Number: 1316952419
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2059536
LAB Type Pharmacy
Facility Name WALGREENS #04373
Street 1001 LOOP 274
City ANGLETON
State TX
ZIP 77515
Phone 979 849-2347
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2025
Certificate Expiration Date 3/21/2027
Facility Type Pharmacy
Lab Director HELEN AYENI

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