10D2013459 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2013459
  • Facility Name: WALGREEN CO
  • Facility Address: 524 JEFFERSON AVE
    MIAMI BEACH, FL
    ZIP 33139
  • Facility Phone: 305 531-7688
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROOPA DUGGIRALA
  • NPI Number: 1003821323
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2013459
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 524 JEFFERSON AVE
City MIAMI BEACH
State FL
ZIP 33139
Phone 305 531-7688
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/17/2025
Certificate Expiration Date 10/16/2027
Facility Type Pharmacy
Lab Director ROOPA DUGGIRALA

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