45D2223095 CLIA NUMBER - WALGREENS #02942

Laboratory Demographics

  • CLIA Code: 45D2223095
  • Facility Name: WALGREENS #02942
  • Facility Address: 2300 PECAN BLVD
    MCALLEN, TX
    ZIP 78501
  • Facility Phone: 956 686-7486
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUNDAY NTIEJUMOKWU
  • NPI Number: 1538174545
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2223095
LAB Type Pharmacy
Facility Name WALGREENS #02942
Street 2300 PECAN BLVD
City MCALLEN
State TX
ZIP 78501
Phone 956 686-7486
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/4/2025
Certificate Expiration Date 5/3/2027
Facility Type Pharmacy
Lab Director SUNDAY NTIEJUMOKWU

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This page was last updated on: 6/4/2025