10D2013695 CLIA NUMBER - WALGREENS #02832

Laboratory Demographics

  • CLIA Code: 10D2013695
  • Facility Name: WALGREENS #02832
  • Facility Address: 4010 SW 137TH AVE
    MIAMI, FL
    ZIP 33175
  • Facility Phone: 305 554-4549
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TINA C. FREGEOLLE
  • NPI Number: 1861407165
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2013695
LAB Type Pharmacy
Facility Name WALGREENS #02832
Street 4010 SW 137TH AVE
City MIAMI
State FL
ZIP 33175
Phone 305 554-4549
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2025
Certificate Expiration Date 7/5/2027
Facility Type Pharmacy
Lab Director TINA C. FREGEOLLE

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