10D2013119 CLIA NUMBER - WALGREENS #04141

Laboratory Demographics

  • CLIA Code: 10D2013119
  • Facility Name: WALGREENS #04141
  • Facility Address: 3099 N STATE RD 7
    LAUDERDALE LAKES, FL
    ZIP 33313
  • Facility Phone: 954 485-9161
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LORRAINE SIMS-KIRKLAND
  • NPI Number: 1114934296
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2013119
LAB Type Pharmacy
Facility Name WALGREENS #04141
Street 3099 N STATE RD 7
City LAUDERDALE LAKES
State FL
ZIP 33313
Phone 954 485-9161
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2025
Certificate Expiration Date 7/5/2027
Facility Type Pharmacy
Lab Director LORRAINE SIMS-KIRKLAND

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