45D2217596 CLIA NUMBER - WALGREENS #07774

Laboratory Demographics

  • CLIA Code: 45D2217596
  • Facility Name: WALGREENS #07774
  • Facility Address: 12225 HIGHWAY 6
    FRESNO, TX
    ZIP 77545
  • Facility Phone: (281) 431-4248
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NAVEEN THOMAS
  • NPI Number: 1295740355
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2217596
LAB Type Pharmacy
Facility Name WALGREENS #07774
Street 12225 HIGHWAY 6
City FRESNO
State TX
ZIP 77545
Phone 2814314248
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2025
Certificate Expiration Date 3/21/2027
Facility Type Pharmacy
Lab Director NAVEEN THOMAS

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This page was last updated on: 5/18/2026