10D2012453 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2012453
  • Facility Name: WALGREEN CO
  • Facility Address: 2501 BROADWAY
    RIVIERA BEACH, FL
    ZIP 33404
  • Facility Phone: 561 868-6464
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ASIF RAHMAN
  • NPI Number: 1255346490
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2012453
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 2501 BROADWAY
City RIVIERA BEACH
State FL
ZIP 33404
Phone 561 868-6464
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2025
Certificate Expiration Date 8/17/2027
Facility Type Pharmacy
Lab Director ASIF RAHMAN

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