10D2012337 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2012337
  • Facility Name: WALGREEN CO
  • Facility Address: 3007 AVENTURA BLVD, BAY 4
    AVENTURA, FL
    ZIP 33180
  • Facility Phone: 305 936-2483
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: REZWANOOR RAHMAN
  • NPI Number: 1871508176
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2012337
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 3007 AVENTURA BLVD, BAY 4
City AVENTURA
State FL
ZIP 33180
Phone 305 936-2483
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2024
Certificate Expiration Date 5/10/2026
Facility Type Pharmacy
Lab Director REZWANOOR RAHMAN

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This page was last updated on: 6/4/2025