10D2024074 CLIA NUMBER - WALGREEN CO

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Laboratory Demographics

CLIA Number: 10D2024074

Facility Name: WALGREEN CO

Facility Address:
4943 LE CHALET BLVD
BOYNTON BEACH, FL
ZIP 33436
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Facility Phone Number: 561 752-0314

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1891700043

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	10D2024074
LAB Type	Pharmacy
Facility Name	WALGREEN CO
Street	4943 LE CHALET BLVD
City	BOYNTON BEACH
State	FL
ZIP	33436
Phone	561 752-0314
CertificateType	4
CertificateEffectiveDate	4/23/2023
CertificateExpirationDate	4/22/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024