45D2214734 CLIA NUMBER - WALGREENS #15621

Laboratory Demographics

  • CLIA Code: 45D2214734
  • Facility Name: WALGREENS #15621
  • Facility Address: 25215 W INTERSTATE 10
    SAN ANTONIO, TX
    ZIP 78257
  • Facility Phone: 210 698-2540
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER MCMILLAN
  • NPI Number: 1215350376
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2214734
LAB Type Pharmacy
Facility Name WALGREENS #15621
Street 25215 W INTERSTATE 10
City SAN ANTONIO
State TX
ZIP 78257
Phone 210 698-2540
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/24/2025
Certificate Expiration Date 2/23/2027
Facility Type Pharmacy
Lab Director CHRISTOPHER MCMILLAN

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