10D2013733 CLIA NUMBER - WALGREEN CO #04766

Laboratory Demographics

  • CLIA Code: 10D2013733
  • Facility Name: WALGREEN CO #04766
  • Facility Address: 9005 PINES BLVD
    PEMBROKE PINES, FL
    ZIP 33024
  • Facility Phone: 954 392-4749
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROSEMARY TETTEH
  • NPI Number: 1366458853
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2013733
LAB Type Pharmacy
Facility Name WALGREEN CO #04766
Street 9005 PINES BLVD
City PEMBROKE PINES
State FL
ZIP 33024
Phone 954 392-4749
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2025
Certificate Expiration Date 6/30/2027
Facility Type Pharmacy
Lab Director ROSEMARY TETTEH

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