45D2061065 CLIA NUMBER - WALGREENS #3505

Laboratory Demographics

  • CLIA Code: 45D2061065
  • Facility Name: WALGREENS #3505
  • Facility Address: 6635 BANDERA ROAD
    SAN ANTONIO, TX
    ZIP 78238
  • Facility Phone: 210 681-8540
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KATHRYN E. CALVO
  • NPI Number: 1396752390
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2061065
LAB Type Pharmacy
Facility Name WALGREENS #3505
Street 6635 BANDERA ROAD
City SAN ANTONIO
State TX
ZIP 78238
Phone 210 681-8540
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2025
Certificate Expiration Date 6/23/2027
Facility Type Pharmacy
Lab Director KATHRYN E. CALVO

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This page was last updated on: 6/4/2025