10D2013458 CLIA NUMBER - WALGREENS #02790

Laboratory Demographics

  • CLIA Code: 10D2013458
  • Facility Name: WALGREENS #02790
  • Facility Address: 3103 BISCAYNE BLVD
    MIAMI, FL
    ZIP 33137
  • Facility Phone: 305 573-0130
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACQUELINE S. LACAL
  • NPI Number: 1760545040
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2013458
LAB Type Pharmacy
Facility Name WALGREENS #02790
Street 3103 BISCAYNE BLVD
City MIAMI
State FL
ZIP 33137
Phone 305 573-0130
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 JACQUELINE S. LACAL

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