10D2064163 CLIA NUMBER - WALGREEN CO

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Laboratory Demographics

CLIA Number: 10D2064163

Facility Name: WALGREEN CO

Facility Address:
6591 FOREST HILL BLVD
GREENACRES, FL
ZIP 33413
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Facility Phone Number: 561 964-6666

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1427063544

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	10D2064163
LAB Type	Pharmacy
Facility Name	WALGREEN CO
Street	6591 FOREST HILL BLVD
City	GREENACRES
State	FL
ZIP	33413
Phone	561 964-6666
CertificateType	4
CertificateEffectiveDate	5/27/2023
CertificateExpirationDate	5/26/2025
FacilityType	Waiver

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