10D2217378 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2217378
  • Facility Name: WALGREEN CO
  • Facility Address: 13950 JOG RD
    WEST DELRAY BEACH, FL
    ZIP 33446
  • Facility Phone: 561 865-1527
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KRISTI BOURAS
  • NPI Number: 1659386845
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2217378
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 13950 JOG RD
City WEST DELRAY BEACH
State FL
ZIP 33446
Phone 561 865-1527
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/19/2025
Certificate Expiration Date 3/18/2027
Facility Type Pharmacy
Lab Director KRISTI BOURAS

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