10D2013715 CLIA NUMBER - WALGREENS #04324

Laboratory Demographics

CLIA Number: 10D2013715

Facility Name: WALGREENS #04324

Facility Address:
15911 PINES BLVD
PEMBROKE PINES, FL
ZIP 33027
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Facility Phone Number: (954) 450-8896

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1265448708

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 10D2013715
LAB Type PHARMACY
Facility Name WALGREENS #04324
Street 15911 PINES BLVD
City PEMBROKE PINES
State FL
ZIP 33027
Phone (954) 450-8896

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This page was last updated on: 5/11/2023