10D2226716 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2226716
  • Facility Name: WALGREEN CO
  • Facility Address: 4560 OKEECHOBEE BLVD
    WEST PALM BEACH, FL
    ZIP 33417
  • Facility Phone: 561 615-6818
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JERRI A. GATES
  • NPI Number: 1942217930
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2226716
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 4560 OKEECHOBEE BLVD
City WEST PALM BEACH
State FL
ZIP 33417
Phone 561 615-6818
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/3/2025
Certificate Expiration Date 6/2/2027
Facility Type Pharmacy
Lab Director JERRI A. GATES

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