45D2217948 CLIA NUMBER - WALGREENS #09739

Laboratory Demographics

  • CLIA Code: 45D2217948
  • Facility Name: WALGREENS #09739
  • Facility Address: 203 N MECHANIC ST
    EL CAMPO, TX
    ZIP 77437
  • Facility Phone: 979 543-8902
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RUTH DANG
  • NPI Number: 1700830940
  • Taxonomy: 333600000X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2025
Certificate Expiration Date 3/23/2027
Facility Type Pharmacy
Lab Director RUTH DANG

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