45D2225834 CLIA NUMBER - WALGREENS #04839

Laboratory Demographics

  • CLIA Code: 45D2225834
  • Facility Name: WALGREENS #04839
  • Facility Address: 2010 S FRY RD
    KATY, TX
    ZIP 77450
  • Facility Phone: 281 398-9628
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALMA PEREZ
  • NPI Number: 1124034582
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2225834
LAB Type Pharmacy
Facility Name WALGREENS #04839
Street 2010 S FRY RD
City KATY
State TX
ZIP 77450
Phone 281 398-9628
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2023
Certificate Expiration Date 5/24/2025
Facility Type Pharmacy
Lab Director ALMA PEREZ

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This page was last updated on: 3/20/2025