10D2013502 CLIA NUMBER - WALGREENS CO

Laboratory Demographics

  • CLIA Code: 10D2013502
  • Facility Name: WALGREENS CO
  • Facility Address: 1695 NW 20TH ST
    MIAMI, FL
    ZIP 33142
  • Facility Phone: 305 324-7603
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHI FREDA
  • NPI Number: 1922013143
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2013502
LAB Type Pharmacy
Facility Name WALGREENS CO
Street 1695 NW 20TH ST
City MIAMI
State FL
ZIP 33142
Phone 305 324-7603
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/2/2025
Certificate Expiration Date 7/1/2027
Facility Type Pharmacy
Lab Director CHI FREDA

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