45D2060909 CLIA NUMBER - WALGREENS #03804

Laboratory Demographics

  • CLIA Code: 45D2060909
  • Facility Name: WALGREENS #03804
  • Facility Address: 7655 TEZEL ROAD
    SAN ANTONIO, TX
    ZIP 78250
  • Facility Phone: 210 543-9151
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GIFTY V. TURKSON
  • NPI Number: 1568479442
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2060909
LAB Type Pharmacy
Facility Name WALGREENS #03804
Street 7655 TEZEL ROAD
City SAN ANTONIO
State TX
ZIP 78250
Phone 210 543-9151
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/2/2025
Certificate Expiration Date 8/1/2027
Facility Type Pharmacy
Lab Director GIFTY V. TURKSON

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