10D2221093 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2221093
  • Facility Name: WALGREEN CO
  • Facility Address: 780 E 9TH ST
    HIALEAH, FL
    ZIP 33010
  • Facility Phone: 305 885-7520
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ENRIQUE CHAVARRIA
  • NPI Number: 1790790095
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2221093
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 780 E 9TH ST
City HIALEAH
State FL
ZIP 33010
Phone 305 885-7520
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/19/2025
Certificate Expiration Date 4/18/2027
Facility Type Pharmacy
Lab Director ENRIQUE CHAVARRIA

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