10D2223977 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2223977
  • Facility Name: WALGREEN CO
  • Facility Address: 11204 W STATE ROAD 84
    DAVIE, FL
    ZIP 33325
  • Facility Phone: 954 476-0203
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LEYDY V. BARCHI
  • NPI Number: 1336154459
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2223977
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 11204 W STATE ROAD 84
City DAVIE
State FL
ZIP 33325
Phone 954 476-0203
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2025
Certificate Expiration Date 5/10/2027
Facility Type Pharmacy
Lab Director LEYDY V. BARCHI

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