10D2013734 CLIA NUMBER - WALGREENS #06012

Laboratory Demographics

  • CLIA Code: 10D2013734
  • Facility Name: WALGREENS #06012
  • Facility Address: 655 NW 57TH AVE
    MIAMI, FL
    ZIP 33126
  • Facility Phone: 786 388-1466
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LEYDIANA CRUZ
  • NPI Number: 1073528238
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2013734
LAB Type Pharmacy
Facility Name WALGREENS #06012
Street 655 NW 57TH AVE
City MIAMI
State FL
ZIP 33126
Phone 786 388-1466
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2025
Certificate Expiration Date 2/3/2027
Facility Type Pharmacy
Lab Director LEYDIANA CRUZ

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