45D2060913 CLIA NUMBER - WALGREENS #12519

Laboratory Demographics

  • CLIA Code: 45D2060913
  • Facility Name: WALGREENS #12519
  • Facility Address: 1902 N LOOP 1604 W
    SAN ANTONIO, TX
    ZIP 78248
  • Facility Phone: 210 492-5095
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EUCHARIA C. IGWE
  • NPI Number: 1275763583
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2060913
LAB Type Pharmacy
Facility Name WALGREENS #12519
Street 1902 N LOOP 1604 W
City SAN ANTONIO
State TX
ZIP 78248
Phone 210 492-5095
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/16/2025
Certificate Expiration Date 6/15/2027
Facility Type Pharmacy
Lab Director EUCHARIA C. IGWE

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