45D2216042 CLIA NUMBER - WALGREEN #07378

Laboratory Demographics

  • CLIA Code: 45D2216042
  • Facility Name: WALGREEN #07378
  • Facility Address: 1751 ROCK PRAIRIE RD
    COLLEGE STATION, TX
    ZIP 77845
  • Facility Phone: 979 764-1805
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AIMEE LUSSON
  • NPI Number: 1962823351
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2216042
LAB Type Pharmacy
Facility Name WALGREEN #07378
Street 1751 ROCK PRAIRIE RD
City COLLEGE STATION
State TX
ZIP 77845
Phone 979 764-1805
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/9/2025
Certificate Expiration Date 3/8/2027
Facility Type Pharmacy
Lab Director AIMEE LUSSON

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