10D2012354 CLIA NUMBER - WALGREENS CO

Laboratory Demographics

  • CLIA Code: 10D2012354
  • Facility Name: WALGREENS CO
  • Facility Address: 6558 LANTANA RD
    LAKE WORTH, FL
    ZIP 33467
  • Facility Phone: 561 969-2429
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAMIE A. GRILL
  • NPI Number: 1427065416
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2012354
LAB Type Pharmacy
Facility Name WALGREENS CO
Street 6558 LANTANA RD
City LAKE WORTH
State FL
ZIP 33467
Phone 561 969-2429
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2025
Certificate Expiration Date 7/5/2027
Facility Type Pharmacy
Lab Director JAMIE A. GRILL

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