10D2013123 CLIA NUMBER - WALGREEN CO WALGREENS #06221

Laboratory Demographics

  • CLIA Code: 10D2013123
  • Facility Name: WALGREEN CO WALGREENS #06221
  • Facility Address: 1515 E SUNRISE BLVD
    FORT LAUDERDALE, FL
    ZIP 33304
  • Facility Phone: 954 524-3557
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STACY BIEN-AIME
  • NPI Number: 1881609998
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2013123
LAB Type Pharmacy
Facility Name WALGREEN CO WALGREENS #06221
Street 1515 E SUNRISE BLVD
City FORT LAUDERDALE
State FL
ZIP 33304
Phone 954 524-3557
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/28/2025
Certificate Expiration Date 9/27/2027
Facility Type Pharmacy
Lab Director STACY BIEN-AIME

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