10D2011905 CLIA NUMBER - WALGREEN CO

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Laboratory Demographics

CLIA Number: 10D2011905

Facility Name: WALGREEN CO

Facility Address:
1101 E ATLANTIC BLVD
POMPANO BEACH, FL
ZIP 33060
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Facility Phone Number: 954 942-2002

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1407861610

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	10D2011905
LAB Type	Pharmacy
Facility Name	WALGREEN CO
Street	1101 E ATLANTIC BLVD
City	POMPANO BEACH
State	FL
ZIP	33060
Phone	954 942-2002
CertificateType	4
CertificateEffectiveDate	9/20/2023
CertificateExpirationDate	9/19/2025
FacilityType	Waiver

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