10D2003703 CLIA NUMBER - WALGREEN CO

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Laboratory Demographics

CLIA Number: 10D2003703

Facility Name: WALGREEN CO

Facility Address:
1201 S FEDERAL HWY
FORT LAUDERDALE, FL
ZIP 33316
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Facility Phone Number: 954 523-1486

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1194730374

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	10D2003703
LAB Type	Pharmacy
Facility Name	WALGREEN CO
Street	1201 S FEDERAL HWY
City	FORT LAUDERDALE
State	FL
ZIP	33316
Phone	954 523-1486
CertificateType	4
CertificateEffectiveDate	2/17/2023
CertificateExpirationDate	2/16/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024