10D2013142 CLIA NUMBER - WALGREENS CO

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Laboratory Demographics

CLIA Number: 10D2013142

Facility Name: WALGREENS CO

Facility Address:
4600 COCONUT CREEK PKWY
COCONUT CREEK, FL
ZIP 33063
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Facility Phone Number: 954 975-0800

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1164439147

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	10D2013142
LAB Type	Pharmacy
Facility Name	WALGREENS CO
Street	4600 COCONUT CREEK PKWY
City	COCONUT CREEK
State	FL
ZIP	33063
Phone	954 975-0800
CertificateType	4
CertificateEffectiveDate	3/3/2023
CertificateExpirationDate	3/2/2025
FacilityType	Waiver

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