45D2060807 CLIA NUMBER - WALGREENS #03996

Laboratory Demographics

  • CLIA Code: 45D2060807
  • Facility Name: WALGREENS #03996
  • Facility Address: 5760 WALZEM ROAD
    SAN ANTONIO, TX
    ZIP 78218
  • Facility Phone: 210 657-7071
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRENDA LEA BAKER
  • NPI Number: 1225043326
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2060807
LAB Type Pharmacy
Facility Name WALGREENS #03996
Street 5760 WALZEM ROAD
City SAN ANTONIO
State TX
ZIP 78218
Phone 210 657-7071
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2025
Certificate Expiration Date 8/17/2027
Facility Type Pharmacy
Lab Director BRENDA LEA BAKER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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