45D2226184 CLIA NUMBER - WALGREENS #01169

Laboratory Demographics

  • CLIA Code: 45D2226184
  • Facility Name: WALGREENS #01169
  • Facility Address: 20675 FM 1093 RD
    RICHMOND, TX
    ZIP 77407
  • Facility Phone: 281 239-3772
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIMANH NGUYEN
  • NPI Number: 1366540452
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2226184
LAB Type Pharmacy
Facility Name WALGREENS #01169
Street 20675 FM 1093 RD
City RICHMOND
State TX
ZIP 77407
Phone 281 239-3772
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 KIMANH NGUYEN

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