45D2220264 CLIA NUMBER - WALGREENS #12716

Laboratory Demographics

  • CLIA Code: 45D2220264
  • Facility Name: WALGREENS #12716
  • Facility Address: 12020 CULEBRA
    SAN ANTONIO, TX
    ZIP 78253
  • Facility Phone: 210 762-3040
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER MCMILLAN
  • NPI Number: 1316287949
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2220264
LAB Type Pharmacy
Facility Name WALGREENS #12716
Street 12020 CULEBRA
City SAN ANTONIO
State TX
ZIP 78253
Phone 210 762-3040
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/12/2025
Certificate Expiration Date 4/11/2027
Facility Type Pharmacy
Lab Director CHRISTOPHER MCMILLAN

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