45D2228759 CLIA NUMBER - WALGREENS #03760

Laboratory Demographics

  • CLIA Code: 45D2228759
  • Facility Name: WALGREENS #03760
  • Facility Address: 2990 MARINA BAY DR
    LEAGUE CITY, TX
    ZIP 77573
  • Facility Phone: 281 535-0254
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ESMAIL MOOSAVI
  • NPI Number: 1518972512
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2228759
LAB Type Pharmacy
Facility Name WALGREENS #03760
Street 2990 MARINA BAY DR
City LEAGUE CITY
State TX
ZIP 77573
Phone 281 535-0254
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/30/2025
Certificate Expiration Date 6/29/2027
Facility Type Pharmacy
Lab Director ESMAIL MOOSAVI

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