45D2060804 CLIA NUMBER - WALGREENS #4274

Laboratory Demographics

  • CLIA Code: 45D2060804
  • Facility Name: WALGREENS #4274
  • Facility Address: 2425 THOUSAND OAKS DRIVE
    SAN ANTONIO, TX
    ZIP 78232
  • Facility Phone: 210 402-2927
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARY LOMAS
  • NPI Number: 1851306815
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2060804
LAB Type Pharmacy
Facility Name WALGREENS #4274
Street 2425 THOUSAND OAKS DRIVE
City SAN ANTONIO
State TX
ZIP 78232
Phone 210 402-2927
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/5/2025
Certificate Expiration Date 8/4/2027
Facility Type Pharmacy
Lab Director MARY LOMAS

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