10D2013709 CLIA NUMBER - WALGREENS #04809

Laboratory Demographics

  • CLIA Code: 10D2013709
  • Facility Name: WALGREENS #04809
  • Facility Address: 3595 CORAL WAY
    MIAMI, FL
    ZIP 33145
  • Facility Phone: 305 444-8427
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAVIER M. DELEO
  • NPI Number: 1174538342
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2013709
LAB Type Pharmacy
Facility Name WALGREENS #04809
Street 3595 CORAL WAY
City MIAMI
State FL
ZIP 33145
Phone 305 444-8427
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/11/2025
Certificate Expiration Date 3/10/2027
Facility Type Pharmacy
Lab Director JAVIER M. DELEO

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