45D2231160 CLIA NUMBER - WALGREENS #04901

Laboratory Demographics

  • CLIA Code: 45D2231160
  • Facility Name: WALGREENS #04901
  • Facility Address: 12407 GRANT RD
    CYPRESS, TX
    ZIP 77429
  • Facility Phone: 281 655-0478
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LINH V. HOANG
  • NPI Number: 1710994629
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2231160
LAB Type Pharmacy
Facility Name WALGREENS #04901
Street 12407 GRANT RD
City CYPRESS
State TX
ZIP 77429
Phone 281 655-0478
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 LINH V. HOANG

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