45D2231108 CLIA NUMBER - WALGREEN #07534

Laboratory Demographics

  • CLIA Code: 45D2231108
  • Facility Name: WALGREEN #07534
  • Facility Address: 6122 BROADWAY ST
    PEARLAND, TX
    ZIP 77581
  • Facility Phone: 281 412-4896
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEFFERY O. THOMLINSON
  • NPI Number: 1265449177
  • Taxonomy: 333600000X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2025
Certificate Expiration Date 7/29/2027
Facility Type Pharmacy
Lab Director JEFFERY O. THOMLINSON

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