10D2013460 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2013460
  • Facility Name: WALGREEN CO
  • Facility Address: 4049 PINE TREE DR
    MIAMI BEACH, FL
    ZIP 33140
  • Facility Phone: 305 535-9797
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JALISA PIERRE-LOUIS
  • NPI Number: 1003821232
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2013460
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 4049 PINE TREE DR
City MIAMI BEACH
State FL
ZIP 33140
Phone 305 535-9797
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/9/2023
Certificate Expiration Date 10/8/2025
Facility Type Pharmacy
Lab Director JALISA PIERRE-LOUIS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 3/20/2025