10D2206508 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2206508
  • Facility Name: WALGREEN CO
  • Facility Address: 9020 BISCAYNE BLVD
    MIAMI SHORES, FL
    ZIP 33138
  • Facility Phone: 847 527-3972
  • Facility Type: Other - COVID 19 TEST SITE
  • Facility Type: Waiver
  • Lab Director: ROGEL FERNANDEZ
  • NPI Number: 1669487880
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2206508
LAB Type Other - COVID 19 TEST SITE
Facility Name WALGREEN CO
Street 9020 BISCAYNE BLVD
City MIAMI SHORES
State FL
ZIP 33138
Phone 847 527-3972
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2024
Certificate Expiration Date 12/20/2026
Facility Type Other - COVID 19 TEST SITE
Lab Director ROGEL FERNANDEZ

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