10D2013690 CLIA NUMBER - WALGREEN CO #03721

Laboratory Demographics

  • CLIA Code: 10D2013690
  • Facility Name: WALGREEN CO #03721
  • Facility Address: 15255 SW 137TH AVE
    MIAMI, FL
    ZIP 33177
  • Facility Phone: 847 527-3972
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NART HAJMOUSSA
  • NPI Number: 1538174768
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2013690
LAB Type Pharmacy
Facility Name WALGREEN CO #03721
Street 15255 SW 137TH AVE
City MIAMI
State FL
ZIP 33177
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 7/16/2025
Certificate Expiration Date 7/15/2027
Facility Type Pharmacy
Lab Director NART HAJMOUSSA

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