45D2215722 CLIA NUMBER - WALGREENS #15993

Laboratory Demographics

  • CLIA Code: 45D2215722
  • Facility Name: WALGREENS #15993
  • Facility Address: 2341 EAST MAIN
    EAGLE PASS, TX
    ZIP 78852
  • Facility Phone: 830 872-3316
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER R. MCMILLAN
  • NPI Number: 1639578370
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2215722
LAB Type Pharmacy
Facility Name WALGREENS #15993
Street 2341 EAST MAIN
City EAGLE PASS
State TX
ZIP 78852
Phone 830 872-3316
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2025
Certificate Expiration Date 3/4/2027
Facility Type Pharmacy
Lab Director CHRISTOPHER R. MCMILLAN

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