45D2206602 CLIA NUMBER - WALGREENS #04820

Laboratory Demographics

  • CLIA Code: 45D2206602
  • Facility Name: WALGREENS #04820
  • Facility Address: 1619 50TH ST
    LUBBOCK, TX
    ZIP 79412
  • Facility Phone: 915 479-9437
  • Facility Type: Other - COVI 0-19 TEST SITE
  • Facility Type: Waiver
  • Lab Director: AHMED JALLAD
  • NPI Number: 1861407835
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2206602
LAB Type Other - COVI 0-19 TEST SITE
Facility Name WALGREENS #04820
Street 1619 50TH ST
City LUBBOCK
State TX
ZIP 79412
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 0-19 TEST SITE
Lab Director AHMED JALLAD

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