10D2012378 CLIA NUMBER - WALGREENS CO

Laboratory Demographics

  • CLIA Code: 10D2012378
  • Facility Name: WALGREENS CO
  • Facility Address: 3705 HOLLYWOOD BLVD
    HOLLYWOOD, FL
    ZIP 33021
  • Facility Phone: 954 962-4787
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JASON A. BIBLIOWICZ
  • NPI Number: 1265447569
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2012378
LAB Type Pharmacy
Facility Name WALGREENS CO
Street 3705 HOLLYWOOD BLVD
City HOLLYWOOD
State FL
ZIP 33021
Phone 954 962-4787
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/4/2024
Certificate Expiration Date 5/3/2026
Facility Type Pharmacy
Lab Director JASON A. BIBLIOWICZ

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