45D2076384 CLIA NUMBER - WALGREENS #03444

Laboratory Demographics

  • CLIA Code: 45D2076384
  • Facility Name: WALGREENS #03444
  • Facility Address: 11107 MARKET STREET RD
    JACINTO CITY, TX
    ZIP 77029
  • Facility Phone: 713 451-9005
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHYNI SAMUEL
  • NPI Number: 1699780791
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2076384
LAB Type Pharmacy
Facility Name WALGREENS #03444
Street 11107 MARKET STREET RD
City JACINTO CITY
State TX
ZIP 77029
Phone 713 451-9005
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/30/2025
Certificate Expiration Date 6/29/2027
Facility Type Pharmacy
Lab Director SHYNI SAMUEL

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