10D2217986 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2217986
  • Facility Name: WALGREEN CO
  • Facility Address: 14501 MIRAMAR PKWY
    MIRAMAR, FL
    ZIP 33027
  • Facility Phone: 954 885-1861
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIMBERLY K. SHELTON
  • NPI Number: 1205843281
  • Taxonomy: 333600000X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2025
Certificate Expiration Date 3/24/2027
Facility Type Pharmacy
Lab Director KIMBERLY K. SHELTON

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