45D2215470 CLIA NUMBER - WALGREENS #03419

Laboratory Demographics

  • CLIA Code: 45D2215470
  • Facility Name: WALGREENS #03419
  • Facility Address: 4790 LEXINGTON BOULEVARD
    MISSOURI CITY, TX
    ZIP 77459
  • Facility Phone: 281 499-5257
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MEHA PATEL
  • NPI Number: 1891070462
  • Taxonomy: 302R00000X - Health Maintenance Organization

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CLIA Record

Field Name Field Value
CLIA Number 45D2215470
LAB Type Pharmacy
Facility Name WALGREENS #03419
Street 4790 LEXINGTON BOULEVARD
City MISSOURI CITY
State TX
ZIP 77459
Phone 281 499-5257
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2025
Certificate Expiration Date 3/2/2027
Facility Type Pharmacy
Lab Director MEHA PATEL

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