10D2011905 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2011905
  • Facility Name: WALGREEN CO
  • Facility Address: 1101 E ATLANTIC BLVD
    POMPANO BEACH, FL
    ZIP 33060
  • Facility Phone: 954 942-2002
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RONALD GRANADOS
  • NPI Number: 1407861610
  • Taxonomy: 333600000X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2025
Certificate Expiration Date 9/19/2027
Facility Type Pharmacy
Lab Director RONALD GRANADOS

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