45D2060945 CLIA NUMBER - WALGREENS #04551

Laboratory Demographics

  • CLIA Code: 45D2060945
  • Facility Name: WALGREENS #04551
  • Facility Address: 11707 HUEBNER ROAD
    SAN ANTONIO, TX
    ZIP 78230
  • Facility Phone: 210 558-7138
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRIS MCMILLAN
  • NPI Number: 1659386613
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2060945
LAB Type Pharmacy
Facility Name WALGREENS #04551
Street 11707 HUEBNER ROAD
City SAN ANTONIO
State TX
ZIP 78230
Phone 210 558-7138
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2025
Certificate Expiration Date 4/27/2027
Facility Type Pharmacy
Lab Director CHRIS MCMILLAN

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