10D2012586 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2012586
  • Facility Name: WALGREEN CO
  • Facility Address: 2855 STIRLING RD
    FORT LAUDERDALE, FL
    ZIP 33312
  • Facility Phone: 954 981-1104
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: FULANI H. YATES
  • NPI Number: 1588671564
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2012586
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 2855 STIRLING RD
City FORT LAUDERDALE
State FL
ZIP 33312
Phone 954 981-1104
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/19/2025
Certificate Expiration Date 4/18/2027
Facility Type Pharmacy
Lab Director FULANI H. YATES

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