45D2215472 CLIA NUMBER - WALGREENS #11970

Laboratory Demographics

  • CLIA Code: 45D2215472
  • Facility Name: WALGREENS #11970
  • Facility Address: 9810 S MASON ROAD
    RICHMOND, TX
    ZIP 77406
  • Facility Phone: 832 595-9533
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STEPHEN M. CROCCO
  • NPI Number: 1548497175
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2215472
LAB Type Pharmacy
Facility Name WALGREENS #11970
Street 9810 S MASON ROAD
City RICHMOND
State TX
ZIP 77406
Phone 832 595-9533
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 STEPHEN M. CROCCO

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