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45D2217948 CLIA NUMBER - WALGREENS #09739

Laboratory Demographics

CLIA Number: 45D2217948

Facility Name: WALGREENS #09739

Facility Address:
203 N MECHANIC ST
EL CAMPO, TX
ZIP 77437
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Facility Phone Number: 979 543-8902

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1700830940

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name Field Value
CLIA Number 45D2217948
LAB Type Pharmacy
Facility Name WALGREENS #09739
Street 203 N MECHANIC ST
City EL CAMPO
State TX
ZIP 77437
Phone 979 543-8902
CertificateType 4
CertificateEffectiveDate 3/24/2023
CertificateExpirationDate 3/23/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024