10D2013462 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2013462
  • Facility Name: WALGREEN CO
  • Facility Address: 200 SW 13TH ST
    MIAMI, FL
    ZIP 33130
  • Facility Phone: 305 854-6340
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LETICIA DEGENNAN
  • NPI Number: 1306852843
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2013462
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 200 SW 13TH ST
City MIAMI
State FL
ZIP 33130
Phone 305 854-6340
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/2/2025
Certificate Expiration Date 8/1/2027
Facility Type Pharmacy
Lab Director LETICIA DEGENNAN

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