45D2222604 CLIA NUMBER - WALGREENS #13116

Laboratory Demographics

  • CLIA Code: 45D2222604
  • Facility Name: WALGREENS #13116
  • Facility Address: 4313 ANDREWS HWY
    MIDLAND, TX
    ZIP 79703
  • Facility Phone: 432 699-8011
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AHMED JALLAD
  • NPI Number: 1467782417
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2222604
LAB Type Pharmacy
Facility Name WALGREENS #13116
Street 4313 ANDREWS HWY
City MIDLAND
State TX
ZIP 79703
Phone 432 699-8011
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/2025
Certificate Expiration Date 4/28/2027
Facility Type Pharmacy
Lab Director AHMED JALLAD

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