45D2060904 CLIA NUMBER - WALGREENS #10689

Laboratory Demographics

  • CLIA Code: 45D2060904
  • Facility Name: WALGREENS #10689
  • Facility Address: 300 E HOUSTON STREET
    BEEVILLE, TX
    ZIP 78102
  • Facility Phone: 361 362-0469
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LYTLE TABITHA
  • NPI Number: 1093836959
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2060904
LAB Type Pharmacy
Facility Name WALGREENS #10689
Street 300 E HOUSTON STREET
City BEEVILLE
State TX
ZIP 78102
Phone 361 362-0469
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 LYTLE TABITHA

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