45D2225831 CLIA NUMBER - WALGREENS #05423

Laboratory Demographics

  • CLIA Code: 45D2225831
  • Facility Name: WALGREENS #05423
  • Facility Address: 1413 WIRT RD
    HOUSTON, TX
    ZIP 77055
  • Facility Phone: 713 467-4585
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: OMAR Y. MOOHAMMED AMEEN
  • NPI Number: 1770598724
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2225831
LAB Type Pharmacy
Facility Name WALGREENS #05423
Street 1413 WIRT RD
City HOUSTON
State TX
ZIP 77055
Phone 713 467-4585
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 OMAR Y. MOOHAMMED AMEEN

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