10D2222063 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2222063
  • Facility Name: WALGREEN CO
  • Facility Address: 4351 W SAMPLE RD
    COCONUT CREEK, FL
    ZIP 33073
  • Facility Phone: 954 978-4979
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LEANNE BROOKS
  • NPI Number: 1326055401
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2222063
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 4351 W SAMPLE RD
City COCONUT CREEK
State FL
ZIP 33073
Phone 954 978-4979
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/27/2025
Certificate Expiration Date 4/26/2027
Facility Type Pharmacy
Lab Director LEANNE BROOKS

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This page was last updated on: 6/4/2025