10D2011921 CLIA NUMBER - WALGREEN CO WALGREENS #05519

Laboratory Demographics

  • CLIA Code: 10D2011921
  • Facility Name: WALGREEN CO WALGREENS #05519
  • Facility Address: 21880 SR 7
    BOCA RATON, FL
    ZIP 33428
  • Facility Phone: 561 470-0647
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MHERONNE C. PIERRE-LOUIS
  • NPI Number: 1164437323
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2011921
LAB Type Pharmacy
Facility Name WALGREEN CO WALGREENS #05519
Street 21880 SR 7
City BOCA RATON
State FL
ZIP 33428
Phone 561 470-0647
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/27/2023
Certificate Expiration Date 10/26/2025
Facility Type Pharmacy
Lab Director MHERONNE C. PIERRE-LOUIS

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