10D2003722 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2003722
  • Facility Name: WALGREEN CO
  • Facility Address: 4125 STATE RD 7
    LAKE WORTH, FL
    ZIP 33449
  • Facility Phone: 561 304-2403
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DION H. HERRERA
  • NPI Number: 1548275720
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2003722
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 4125 STATE RD 7
City LAKE WORTH
State FL
ZIP 33449
Phone 561 304-2403
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2023
Certificate Expiration Date 7/21/2025
Facility Type Pharmacy
Lab Director DION H. HERRERA

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This page was last updated on: 3/20/2025