45D2193893 CLIA NUMBER - WALGREENS #12015

Laboratory Demographics

  • CLIA Code: 45D2193893
  • Facility Name: WALGREENS #12015
  • Facility Address: 747 E CROSSTIMBERS STREET
    HOUSTON, TX
    ZIP 77022
  • Facility Phone: 713 695-2427
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MOATAZ A. ABDELRAZEK
  • NPI Number: 1689689630
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2193893
LAB Type Pharmacy
Facility Name WALGREENS #12015
Street 747 E CROSSTIMBERS STREET
City HOUSTON
State TX
ZIP 77022
Phone 713 695-2427
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/25/2024
Certificate Expiration Date 9/24/2026
Facility Type Pharmacy
Lab Director MOATAZ A. ABDELRAZEK

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