45D2231108 CLIA NUMBER - WALGREEN #07534

Laboratory Demographics

CLIA Number: 45D2231108

Facility Name: WALGREEN #07534

Facility Address:
6122 BROADWAY ST
PEARLAND, TX
ZIP 77581
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Facility Phone Number: 281 412-4896

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1265449177

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	45D2231108
LAB Type	Pharmacy
Facility Name	WALGREEN #07534
Street	6122 BROADWAY ST
City	PEARLAND
State	TX
ZIP	77581
Phone	281 412-4896
CertificateType	4
CertificateEffectiveDate	7/30/2023
CertificateExpirationDate	7/29/2025
FacilityType	Waiver

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