45D2228368 CLIA NUMBER - WALGREENS #12376

Laboratory Demographics

  • CLIA Code: 45D2228368
  • Facility Name: WALGREENS #12376
  • Facility Address: 1432 ANTONIO ST
    ANTHONY, TX
    ZIP 79821
  • Facility Phone: (915) 886-2413
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEREMY D. CLOWE
  • NPI Number: 1144474701
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2228368
LAB Type Pharmacy
Facility Name WALGREENS #12376
Street 1432 ANTONIO ST
City ANTHONY
State TX
ZIP 79821
Phone 9158862413
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/25/2025
Certificate Expiration Date 6/24/2027
Facility Type Pharmacy
Lab Director JEREMY D. CLOWE

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This page was last updated on: 5/18/2026