10D2013717 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2013717
  • Facility Name: WALGREEN CO
  • Facility Address: 9675 NW 41ST ST
    DORAL, FL
    ZIP 33178
  • Facility Phone: 305 406-3760
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GISELLE ISAZA
  • NPI Number: 1639184856
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2013717
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 9675 NW 41ST ST
City DORAL
State FL
ZIP 33178
Phone 305 406-3760
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/2/2025
Certificate Expiration Date 7/1/2027
Facility Type Pharmacy
Lab Director GISELLE ISAZA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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