10D2071894 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2071894
  • Facility Name: WALGREEN CO
  • Facility Address: 1251 S STATE RD 7
    DAVIE, FL
    ZIP 33317
  • Facility Phone: 954 584-2118
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ASISHA S. KOSHY
  • NPI Number: 1609881713
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2071894
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 1251 S STATE RD 7
City DAVIE
State FL
ZIP 33317
Phone 954 584-2118
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/2/2025
Certificate Expiration Date 6/1/2027
Facility Type Pharmacy
Lab Director ASISHA S. KOSHY

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