10D2003721 CLIA NUMBER - WALGREENS CO

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Laboratory Demographics

CLIA Number: 10D2003721

Facility Name: WALGREENS CO

Facility Address:
3914 W COMMERCIAL BLVD
TAMARAC, FL
ZIP 33309
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Facility Phone Number: 954 485-6796

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1982619094

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	10D2003721
LAB Type	Pharmacy
Facility Name	WALGREENS CO
Street	3914 W COMMERCIAL BLVD
City	TAMARAC
State	FL
ZIP	33309
Phone	954 485-6796
CertificateType	4
CertificateEffectiveDate	3/26/2023
CertificateExpirationDate	3/25/2025
FacilityType	Waiver

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