10D2011978 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2011978
  • Facility Name: WALGREEN CO
  • Facility Address: 2200 PALM BEACH LAKES BLVD
    WEST PALM BEACH, FL
    ZIP 33409
  • Facility Phone: 561 615-0415
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ASIF L. RAHMAN
  • NPI Number: 1164437307
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2011978
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 2200 PALM BEACH LAKES BLVD
City WEST PALM BEACH
State FL
ZIP 33409
Phone 561 615-0415
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2025
Certificate Expiration Date 4/22/2027
Facility Type Pharmacy
Lab Director ASIF L. RAHMAN

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