45D2226213 CLIA NUMBER - WALGREENS #11436

Laboratory Demographics

CLIA Number: 45D2226213

Facility Name: WALGREENS #11436

Facility Address:
10850 N LOOP DR
SOCORRO, TX
ZIP 79927
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Facility Phone Number: 915 860-1315

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1659526820

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	45D2226213
LAB Type	Pharmacy
Facility Name	WALGREENS #11436
Street	10850 N LOOP DR
City	SOCORRO
State	TX
ZIP	79927
Phone	915 860-1315
CertificateType	4
CertificateEffectiveDate	5/27/2023
CertificateExpirationDate	5/26/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024