10D2012378 CLIA NUMBER - WALGREENS CO

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Laboratory Demographics

CLIA Number: 10D2012378

Facility Name: WALGREENS CO

Facility Address:
3705 HOLLYWOOD BLVD
HOLLYWOOD, FL
ZIP 33021
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Facility Phone Number: 954 962-4787

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1265447569

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

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
CertificateType	4
CertificateEffectiveDate	5/4/2024
CertificateExpirationDate	5/3/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024