45D2062560 CLIA NUMBER - WALGREENS #5733

Laboratory Demographics

  • CLIA Code: 45D2062560
  • Facility Name: WALGREENS #5733
  • Facility Address: 6302 FAIRMONT PKWY
    PASADENA, TX
    ZIP 77505
  • Facility Phone: 281 998-7411
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CAMILLE M. BATES
  • NPI Number: 1588679567
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2062560
LAB Type Pharmacy
Facility Name WALGREENS #5733
Street 6302 FAIRMONT PKWY
City PASADENA
State TX
ZIP 77505
Phone 281 998-7411
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2025
Certificate Expiration Date 6/30/2027
Facility Type Pharmacy
Lab Director CAMILLE M. BATES

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