10D2226026 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

CLIA Number: 10D2226026

Facility Name: WALGREEN CO

Facility Address:
1601 S CONGRESS AVE
BOYNTON BEACH, FL
ZIP 33426
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Facility Phone Number: 561 738-2189

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1700893880

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	10D2226026
LAB Type	Pharmacy
Facility Name	WALGREEN CO
Street	1601 S CONGRESS AVE
City	BOYNTON BEACH
State	FL
ZIP	33426
Phone	561 738-2189
CertificateType	4
CertificateEffectiveDate	5/26/2023
CertificateExpirationDate	5/25/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024