10D2013701 CLIA NUMBER - WALGREEN CO

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Laboratory Demographics

CLIA Number: 10D2013701

Facility Name: WALGREEN CO

Facility Address:
400 HIALEAH DR
HIALEAH, FL
ZIP 33010
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Facility Phone Number: 305 884-8774

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1063428555

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	10D2013701
LAB Type	Pharmacy
Facility Name	WALGREEN CO
Street	400 HIALEAH DR
City	HIALEAH
State	FL
ZIP	33010
Phone	305 884-8774
CertificateType	4
CertificateEffectiveDate	7/2/2023
CertificateExpirationDate	7/1/2025
FacilityType	Waiver

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