10D2012586 CLIA NUMBER - WALGREEN CO

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Laboratory Demographics

CLIA Number: 10D2012586

Facility Name: WALGREEN CO

Facility Address:
2855 STIRLING RD
FORT LAUDERDALE, FL
ZIP 33312
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Facility Phone Number: 954 981-1104

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1588671564

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	10D2012586
LAB Type	Pharmacy
Facility Name	WALGREEN CO
Street	2855 STIRLING RD
City	FORT LAUDERDALE
State	FL
ZIP	33312
Phone	954 981-1104
CertificateType	4
CertificateEffectiveDate	4/19/2023
CertificateExpirationDate	4/18/2025
FacilityType	Waiver

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