10D2013143 CLIA NUMBER - WALGREEN CO

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Laboratory Demographics

CLIA Number: 10D2013143

Facility Name: WALGREEN CO

Facility Address:
10881 W OAKLAND PARK BLVD
SUNRISE, FL
ZIP 33351
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Facility Phone Number: 954 748-5000

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1437166410

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	10D2013143
LAB Type	Pharmacy
Facility Name	WALGREEN CO
Street	10881 W OAKLAND PARK BLVD
City	SUNRISE
State	FL
ZIP	33351
Phone	954 748-5000
CertificateType	4
CertificateEffectiveDate	5/24/2023
CertificateExpirationDate	5/23/2025
FacilityType	Waiver

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