10D2014778 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2014778
  • Facility Name: WALGREEN CO
  • Facility Address: 3101 N OCEAN BLVD
    FORT LAUDERDALE, FL
    ZIP 33308
  • Facility Phone: 954 564-8424
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NORDIA NICHOLA OGUNBUNMI
  • NPI Number: 1073528378
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2014778
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 3101 N OCEAN BLVD
City FORT LAUDERDALE
State FL
ZIP 33308
Phone 954 564-8424
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/15/2025
Certificate Expiration Date 9/14/2027
Facility Type Pharmacy
Lab Director NORDIA NICHOLA OGUNBUNMI

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