45D2228293 CLIA NUMBER - WALGREENS #02954

Laboratory Demographics

  • CLIA Code: 45D2228293
  • Facility Name: WALGREENS #02954
  • Facility Address: 131 OYSTER CREEK DR
    LAKE JACKSON, TX
    ZIP 77566
  • Facility Phone: 979 292-0328
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LASHUNDA WILLIAMS-HINTON
  • NPI Number: 1730194754
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2228293
LAB Type Pharmacy
Facility Name WALGREENS #02954
Street 131 OYSTER CREEK DR
City LAKE JACKSON
State TX
ZIP 77566
Phone 979 292-0328
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2025
Certificate Expiration Date 6/23/2027
Facility Type Pharmacy
Lab Director LASHUNDA WILLIAMS-HINTON

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