10D2226021 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2226021
  • Facility Name: WALGREEN CO
  • Facility Address: 1699 NW 75TH ST
    MIAMI, FL
    ZIP 33125
  • Facility Phone: 305 644-4032
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: YANEISY ROCHA
  • NPI Number: 1386659563
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2226021
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 1699 NW 75TH ST
City MIAMI
State FL
ZIP 33125
Phone 305 644-4032
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2023
Certificate Expiration Date 5/25/2025
Facility Type Pharmacy
Lab Director YANEISY ROCHA

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This page was last updated on: 3/20/2025