45D2226474 CLIA NUMBER - WALGREENS #03623

Laboratory Demographics

  • CLIA Code: 45D2226474
  • Facility Name: WALGREENS #03623
  • Facility Address: 5528 N 10TH STREET
    MCALLEN, TX
    ZIP 78504
  • Facility Phone: 956 994-0101
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EFIONG O. NDEKHEDEHE
  • NPI Number: 1720218035
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2226474
LAB Type Pharmacy
Facility Name WALGREENS #03623
Street 5528 N 10TH STREET
City MCALLEN
State TX
ZIP 78504
Phone 956 994-0101
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2025
Certificate Expiration Date 5/31/2027
Facility Type Pharmacy
Lab Director EFIONG O. NDEKHEDEHE

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