45D2313273 CLIA NUMBER - WALGREENS HEALTH SERVICES, LLC

Laboratory Demographics

  • CLIA Code: 45D2313273
  • Facility Name: WALGREENS HEALTH SERVICES, LLC
  • Facility Address: 420 N FRAZIER ST
    CONROE, TX
    ZIP 77301
  • Facility Phone: 936 494-0424
  • Facility Type: Other - HEALTH CLINIC
  • Facility Type: Waiver
  • Lab Director: SASHIDARAN M. MOODLEY
  • NPI Number: 1649287566
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2313273
LAB Type Other - HEALTH CLINIC
Facility Name WALGREENS HEALTH SERVICES, LLC
Street 420 N FRAZIER ST
City CONROE
State TX
ZIP 77301
Phone 936 494-0424
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2024
Certificate Expiration Date 10/27/2026
Facility Type Other - HEALTH CLINIC
Lab Director SASHIDARAN M. MOODLEY

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