45D2289561 CLIA NUMBER - WALGREENS 21238

Laboratory Demographics

  • CLIA Code: 45D2289561
  • Facility Name: WALGREENS 21238
  • Facility Address: 1501 W CHURCH ST STE 500
    LIVINGSTON, TX
    ZIP 77351
  • Facility Phone: 936 327-1086
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: YOLANDA RANGEL
  • NPI Number: 1679137319
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2289561
LAB Type Pharmacy
Facility Name WALGREENS 21238
Street 1501 W CHURCH ST STE 500
City LIVINGSTON
State TX
ZIP 77351
Phone 936 327-1086
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/12/2025
Certificate Expiration Date 9/11/2027
Facility Type Pharmacy
Lab Director YOLANDA RANGEL

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