10D2011897 CLIA NUMBER - WALGREEN CO

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Laboratory Demographics

CLIA Number: 10D2011897

Facility Name: WALGREEN CO

Facility Address:
6458 LINTON BLVD
DELRAY BEACH, FL
ZIP 33484
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Facility Phone Number: 561 638-3406

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1376558528

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	10D2011897
LAB Type	Pharmacy
Facility Name	WALGREEN CO
Street	6458 LINTON BLVD
City	DELRAY BEACH
State	FL
ZIP	33484
Phone	561 638-3406
CertificateType	4
CertificateEffectiveDate	12/8/2023
CertificateExpirationDate	12/7/2025
FacilityType	Waiver

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