45D2063805 CLIA NUMBER - WALGREENS #03082

Laboratory Demographics

  • CLIA Code: 45D2063805
  • Facility Name: WALGREENS #03082
  • Facility Address: 3900 REVEILLE ST
    HOUSTON, TX
    ZIP 77087
  • Facility Phone: 713 644-1848
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MENGDI L. LIN
  • NPI Number: 1275548273
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2063805
LAB Type Pharmacy
Facility Name WALGREENS #03082
Street 3900 REVEILLE ST
City HOUSTON
State TX
ZIP 77087
Phone 713 644-1848
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2025
Certificate Expiration Date 7/29/2027
Facility Type Pharmacy
Lab Director MENGDI L. LIN

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