CLIA lab
CLIA 45D2217553: Walgreens #12494
Port Lavaca, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 45D2217553 belongs to Walgreens #12494 in Port Lavaca, TX.
Certificate of Waiver, effective March 22, 2025, expires March 21, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- March 22, 2025
- Certificate expiration
- March 21, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 22, 2021
- Facility type
- Pharmacy
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 45D2217553
- Lab name
- Walgreens #12494
- Address
- 1302 N Virginia Street, Port Lavaca, TX 77979
- Phone
- (361) 552-7451
- Fax
- (361) 552-7594
Annual test volume the lab reported
- Waived tests
- 12,775
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Walgreens #12494 in Port Lavaca?
45D2217553, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walgreens #12494 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 45D2217553 expire?
The CMS file lists March 21, 2027 as the certificate expiration date; the certificate took effect March 22, 2025.