45D2288282 CLIA NUMBER - WALGREENS 06702

Laboratory Demographics

  • CLIA Code: 45D2288282
  • Facility Name: WALGREENS 06702
  • Facility Address: 3403 MANGUM RD
    HOUSTON, TX
    ZIP 77092
  • Facility Phone: 713 683-8125
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CAMILLE M. BAKER
  • NPI Number: 1942215926
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2288282
LAB Type Pharmacy
Facility Name WALGREENS 06702
Street 3403 MANGUM RD
City HOUSTON
State TX
ZIP 77092
Phone 713 683-8125
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2025
Certificate Expiration Date 8/22/2027
Facility Type Pharmacy
Lab Director CAMILLE M. BAKER

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