45D2212555 CLIA NUMBER - WALGREENS #15931

Laboratory Demographics

  • CLIA Code: 45D2212555
  • Facility Name: WALGREENS #15931
  • Facility Address: 4161 S STAPLES STREET
    CORPUS CHRISTI, TX
    ZIP 78411
  • Facility Phone: 361 814-5806
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTY LYNN PITTMAN
  • NPI Number: 1104831130
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2212555
LAB Type Pharmacy
Facility Name WALGREENS #15931
Street 4161 S STAPLES STREET
City CORPUS CHRISTI
State TX
ZIP 78411
Phone 361 814-5806
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2025
Certificate Expiration Date 2/3/2027
Facility Type Pharmacy
Lab Director CHRISTY LYNN PITTMAN

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