10D2003719 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2003719
  • Facility Name: WALGREEN CO
  • Facility Address: 6800 W 28TH AVE WALGREENS #5130
    HIALEAH, FL
    ZIP 33018
  • Facility Phone: 847 527-3972
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VIKAS ARORA
  • NPI Number: 1982619011
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2003719
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 6800 W 28TH AVE WALGREENS #5130
City HIALEAH
State FL
ZIP 33018
Phone 847 527-3972
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/17/2024
Certificate Expiration Date 2/16/2026
Facility Type Pharmacy
Lab Director VIKAS ARORA

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