10D2215098 CLIA NUMBER - WALGREENS # 09788

Laboratory Demographics

  • CLIA Code: 10D2215098
  • Facility Name: WALGREENS # 09788
  • Facility Address: 2800 NE 8TH ST
    HOMESTEAD, FL
    ZIP 33033
  • Facility Phone: 305 247-0114
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NICHOLA A. WILLIAMS
  • NPI Number: 1508990359
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2215098
LAB Type Pharmacy
Facility Name WALGREENS # 09788
Street 2800 NE 8TH ST
City HOMESTEAD
State FL
ZIP 33033
Phone 305 247-0114
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/1/2025
Certificate Expiration Date 2/28/2027
Facility Type Pharmacy
Lab Director NICHOLA A. WILLIAMS

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