10D2013550 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2013550
  • Facility Name: WALGREEN CO
  • Facility Address: 12630 SW 120TH ST
    MIAMI, FL
    ZIP 33186
  • Facility Phone: 305 253-7837
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CAMILLE LOPEZ DE VICTORIA
  • NPI Number: 1811908049
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2013550
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 12630 SW 120TH ST
City MIAMI
State FL
ZIP 33186
Phone 305 253-7837
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2025
Certificate Expiration Date 7/7/2027
Facility Type Pharmacy
Lab Director CAMILLE LOPEZ DE VICTORIA

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