45D2226401 CLIA NUMBER - WALGREENS #10613

Laboratory Demographics

  • CLIA Code: 45D2226401
  • Facility Name: WALGREENS #10613
  • Facility Address: 32320 STATE HIGHWAY 249
    PINEHURST, TX
    ZIP 77362
  • Facility Phone: 832 934-0415
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DENA A. JOHNSON
  • NPI Number: 1093898868
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2226401
LAB Type Pharmacy
Facility Name WALGREENS #10613
Street 32320 STATE HIGHWAY 249
City PINEHURST
State TX
ZIP 77362
Phone 832 934-0415
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/28/2025
Certificate Expiration Date 5/27/2027
Facility Type Pharmacy
Lab Director DENA A. JOHNSON

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