10D2013699 CLIA NUMBER - WALGREEN CO

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Laboratory Demographics

CLIA Number: 10D2013699

Facility Name: WALGREEN CO

Facility Address:
1155 W 68TH ST WALGREENS #09018
HIALEAH, FL
ZIP 33014
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Facility Phone Number: 305 362-0978

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1396952032

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	10D2013699
LAB Type	Pharmacy
Facility Name	WALGREEN CO
Street	1155 W 68TH ST WALGREENS #09018
City	HIALEAH
State	FL
ZIP	33014
Phone	305 362-0978
CertificateType	4
CertificateEffectiveDate	8/12/2023
CertificateExpirationDate	8/11/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024