45D2060943 CLIA NUMBER - WALGREENS #11520

Laboratory Demographics

  • CLIA Code: 45D2060943
  • Facility Name: WALGREENS #11520
  • Facility Address: 13619 BABCOCK ROAD
    SAN ANTONIO, TX
    ZIP 78249
  • Facility Phone: 210 424-3617
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SANDRA RAMIREZ
  • NPI Number: 1063646222
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2060943
LAB Type Pharmacy
Facility Name WALGREENS #11520
Street 13619 BABCOCK ROAD
City SAN ANTONIO
State TX
ZIP 78249
Phone 210 424-3617
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2025
Certificate Expiration Date 6/16/2027
Facility Type Pharmacy
Lab Director SANDRA RAMIREZ

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