45D2241942 CLIA NUMBER - WALGREENS #21320

Laboratory Demographics

  • CLIA Code: 45D2241942
  • Facility Name: WALGREENS #21320
  • Facility Address: 909 VETERANS BLVD
    DEL RIO, TX
    ZIP 78840
  • Facility Phone: 830 290-6015
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JARROD D. RODRIGUEZ
  • NPI Number: 1548873284
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2241942
LAB Type Physician Office
Facility Name WALGREENS #21320
Street 909 VETERANS BLVD
City DEL RIO
State TX
ZIP 78840
Phone 830 290-6015
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2023
Certificate Expiration Date 11/2/2025
Facility Type Physician Office
Lab Director JARROD D. RODRIGUEZ

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