45D2206548 CLIA NUMBER - WALGREENS #06543

Laboratory Demographics

  • CLIA Code: 45D2206548
  • Facility Name: WALGREENS #06543
  • Facility Address: 10780 KENWORTHY ST
    EL PASO, TX
    ZIP 79924
  • Facility Phone: 915 479-9437
  • Facility Type: Other - COVI D-19 TEST SITE
  • Facility Type: Waiver
  • Lab Director: AHMED JALLAD
  • NPI Number: 1740297654
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2206548
LAB Type Other - COVI D-19 TEST SITE
Facility Name WALGREENS #06543
Street 10780 KENWORTHY ST
City EL PASO
State TX
ZIP 79924
Phone 915 479-9437
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2024
Certificate Expiration Date 12/20/2026
Facility Type Other - COVI D-19 TEST SITE
Lab Director AHMED JALLAD

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