10D2012379 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2012379
  • Facility Name: WALGREEN CO
  • Facility Address: 1723 E YOUNG CIR
    HOLLYWOOD, FL
    ZIP 33020
  • Facility Phone: 954 922-1553
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NATALIE S. RAGHUNATH
  • NPI Number: 1326053679
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2012379
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 1723 E YOUNG CIR
City HOLLYWOOD
State FL
ZIP 33020
Phone 954 922-1553
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/25/2025
Certificate Expiration Date 9/24/2027
Facility Type Pharmacy
Lab Director NATALIE S. RAGHUNATH

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