10D2011923 CLIA NUMBER - WALGREENS #06416

Laboratory Demographics

  • CLIA Code: 10D2011923
  • Facility Name: WALGREENS #06416
  • Facility Address: 960 S POWERLINE RD
    POMPANO BEACH, FL
    ZIP 33069
  • Facility Phone: 954 970-8869
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ILAINA RUTSKY
  • NPI Number: 1427063726
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2011923
LAB Type Pharmacy
Facility Name WALGREENS #06416
Street 960 S POWERLINE RD
City POMPANO BEACH
State FL
ZIP 33069
Phone 954 970-8869
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2025
Certificate Expiration Date 3/4/2027
Facility Type Pharmacy
Lab Director ILAINA RUTSKY

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