45D2225816 CLIA NUMBER - WALGREENS #04021

Laboratory Demographics

  • CLIA Code: 45D2225816
  • Facility Name: WALGREENS #04021
  • Facility Address: 8808 ANTOINE DR
    HOUSTON, TX
    ZIP 77088
  • Facility Phone: 281 272-2592
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JALESA A. TRIGGS
  • NPI Number: 1083620470
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2225816
LAB Type Pharmacy
Facility Name WALGREENS #04021
Street 8808 ANTOINE DR
City HOUSTON
State TX
ZIP 77088
Phone 281 272-2592
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2025
Certificate Expiration Date 5/24/2027
Facility Type Pharmacy
Lab Director JALESA A. TRIGGS

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