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45D2226800 CLIA NUMBER - WALGREENS #10945

Laboratory Demographics

CLIA Number: 45D2226800

Facility Name: WALGREENS #10945

Facility Address:
11133 LEOPARD STREET
CORPUS CHRISTI, TX
ZIP 78410
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Facility Phone Number: 361 241-0406

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1932311529

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 45D2226800
LAB Type Pharmacy
Facility Name WALGREENS #10945
Street 11133 LEOPARD STREET
City CORPUS CHRISTI
State TX
ZIP 78410
Phone 361 241-0406
CertificateType 4
CertificateEffectiveDate 6/4/2023
CertificateExpirationDate 6/3/2025
FacilityType Waiver

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