10D2217986 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

CLIA Number: 10D2217986

Facility Name: WALGREEN CO

Facility Address:
14501 MIRAMAR PKWY
MIRAMAR, FL
ZIP 33027
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Facility Phone Number: 954 885-1861

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1205843281

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name Field Value
CLIA Number 10D2217986
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 14501 MIRAMAR PKWY
City MIRAMAR
State FL
ZIP 33027
Phone 954 885-1861
CertificateType 4
CertificateEffectiveDate 3/25/2023
CertificateExpirationDate 3/24/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024