10D2013466 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2013466
  • Facility Name: WALGREEN CO
  • Facility Address: 750 NW 119TH ST
    MIAMI, FL
    ZIP 33168
  • Facility Phone: 847 527-3972
  • Facility Type: Other - COVID 19 TEST SITE
  • Facility Type: Waiver
  • Lab Director: FOLASADE A. LEFORT
  • NPI Number: 1720093974
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2013466
LAB Type Other - COVID 19 TEST SITE
Facility Name WALGREEN CO
Street 750 NW 119TH ST
City MIAMI
State FL
ZIP 33168
Phone 847 527-3972
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/7/2025
Certificate Expiration Date 1/6/2027
Facility Type Other - COVID 19 TEST SITE
Lab Director FOLASADE A. LEFORT

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: 9/29/2025