10D2012432 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2012432
  • Facility Name: WALGREEN CO
  • Facility Address: 6401 W COMMERCIAL BLVD
    TAMARAC, FL
    ZIP 33319
  • Facility Phone: 954 720-9243
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TAMARA MARZOUCA
  • NPI Number: 1053328088
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2012432
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 6401 W COMMERCIAL BLVD
City TAMARAC
State FL
ZIP 33319
Phone 954 720-9243
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2025
Certificate Expiration Date 5/23/2027
Facility Type Pharmacy
Lab Director TAMARA MARZOUCA

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