45D2226213 CLIA NUMBER - WALGREENS #11436

Laboratory Demographics

  • CLIA Code: 45D2226213
  • Facility Name: WALGREENS #11436
  • Facility Address: 10850 N LOOP DR
    SOCORRO, TX
    ZIP 79927
  • Facility Phone: 915 860-1315
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VANESSA M. RIVERA
  • NPI Number: 1659526820
  • Taxonomy: 333600000X - Pharmacy

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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
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 VANESSA M. RIVERA

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