10D2013453 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2013453
  • Facility Name: WALGREEN CO
  • Facility Address: 17534 COLLINS AVE
    Sunny Isles Beach, FL
    ZIP 33160
  • Facility Phone: 305 935-5578
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSEPH T. LILLIA
  • NPI Number: 1730194879
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2013453
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 17534 COLLINS AVE
City Sunny Isles Beach
State FL
ZIP 33160
Phone 305 935-5578
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/6/2024
Certificate Expiration Date 5/5/2026
Facility Type Pharmacy
Lab Director JOSEPH T. LILLIA

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