10D2217510 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2217510
  • Facility Name: WALGREEN CO
  • Facility Address: 1851 CLINT MOORE RD
    BOCA RATON, FL
    ZIP 33487
  • Facility Phone: 561 997-4078
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ELIZABETH FAGERSTROM
  • NPI Number: 1538174669
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2217510
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 1851 CLINT MOORE RD
City BOCA RATON
State FL
ZIP 33487
Phone 561 997-4078
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2025
Certificate Expiration Date 3/21/2027
Facility Type Pharmacy
Lab Director ELIZABETH FAGERSTROM

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