10D2013142 CLIA NUMBER - WALGREENS CO

Laboratory Demographics

  • CLIA Code: 10D2013142
  • Facility Name: WALGREENS CO
  • Facility Address: 4600 COCONUT CREEK PKWY
    COCONUT CREEK, FL
    ZIP 33063
  • Facility Phone: 954 975-0800
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SCOTT M. TULLOCH
  • NPI Number: 1164439147
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2013142
LAB Type Pharmacy
Facility Name WALGREENS CO
Street 4600 COCONUT CREEK PKWY
City COCONUT CREEK
State FL
ZIP 33063
Phone 954 975-0800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2025
Certificate Expiration Date 3/2/2027
Facility Type Pharmacy
Lab Director SCOTT M. TULLOCH

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