45D2226095 CLIA NUMBER - WALGREENS #01199

Laboratory Demographics

  • CLIA Code: 45D2226095
  • Facility Name: WALGREENS #01199
  • Facility Address: 1600 JACKSON ST
    RICHMOND, TX
    ZIP 77469
  • Facility Phone: 281 342-5219
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALICIA D. EDWARDS
  • NPI Number: 1326055377
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2226095
LAB Type Pharmacy
Facility Name WALGREENS #01199
Street 1600 JACKSON ST
City RICHMOND
State TX
ZIP 77469
Phone 281 342-5219
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2025
Certificate Expiration Date 5/25/2027
Facility Type Pharmacy
Lab Director ALICIA D. EDWARDS

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