10D2002238 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2002238
  • Facility Name: WALGREEN CO
  • Facility Address: 13800 PINES BLVD
    PEMBROKE PINES, FL
    ZIP 33027
  • Facility Phone: 954 442-3202
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRIAN DIAZ
  • NPI Number: 1376559815
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2002238
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 13800 PINES BLVD
City PEMBROKE PINES
State FL
ZIP 33027
Phone 954 442-3202
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2025
Certificate Expiration Date 3/24/2027
Facility Type Pharmacy
Lab Director BRIAN DIAZ

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