10D2064160 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2064160
  • Facility Name: WALGREEN CO
  • Facility Address: 4860 DONALD ROSS RD
    PALM BEACH GARDENS, FL
    ZIP 33418
  • Facility Phone: 561 598-5990
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: THU M. CAO
  • NPI Number: 1154553659
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2064160
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 4860 DONALD ROSS RD
City PALM BEACH GARDENS
State FL
ZIP 33418
Phone 561 598-5990
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2025
Certificate Expiration Date 7/8/2027
Facility Type Pharmacy
Lab Director THU M. CAO

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