45D2222865 CLIA NUMBER - WALGREENS #03696

Laboratory Demographics

  • CLIA Code: 45D2222865
  • Facility Name: WALGREENS #03696
  • Facility Address: 4711 SWEETWATER BLVD
    SUGAR LAND, TX
    ZIP 77479
  • Facility Phone: 281 980-6304
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VY V. VANG
  • NPI Number: 1114932167
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2222865
LAB Type Pharmacy
Facility Name WALGREENS #03696
Street 4711 SWEETWATER BLVD
City SUGAR LAND
State TX
ZIP 77479
Phone 281 980-6304
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/1/2025
Certificate Expiration Date 4/30/2027
Facility Type Pharmacy
Lab Director VY V. VANG

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