45D2226196 CLIA NUMBER - WALGREENS #09076

Laboratory Demographics

  • CLIA Code: 45D2226196
  • Facility Name: WALGREENS #09076
  • Facility Address: 2301 N SHARY ROAD
    MISSION, TX
    ZIP 78574
  • Facility Phone: 956 858-7743
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALYSSA L. GONZALEZ
  • NPI Number: 1306851464
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2226196
LAB Type Pharmacy
Facility Name WALGREENS #09076
Street 2301 N SHARY ROAD
City MISSION
State TX
ZIP 78574
Phone 956 858-7743
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/27/2025
Certificate Expiration Date 5/26/2027
Facility Type Pharmacy
Lab Director ALYSSA L. GONZALEZ

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