45D2060900 CLIA NUMBER - WALGREENS #10231

Laboratory Demographics

  • CLIA Code: 45D2060900
  • Facility Name: WALGREENS #10231
  • Facility Address: 1055 E MAIN STREET
    ALICE, TX
    ZIP 78332
  • Facility Phone: 361 664-2498
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTINA G. CANTU
  • NPI Number: 1164557443
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2060900
LAB Type Pharmacy
Facility Name WALGREENS #10231
Street 1055 E MAIN STREET
City ALICE
State TX
ZIP 78332
Phone 361 664-2498
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2025
Certificate Expiration Date 3/4/2027
Facility Type Pharmacy
Lab Director CHRISTINA G. CANTU

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