10D2228430 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2228430
  • Facility Name: WALGREEN CO
  • Facility Address: 11449 W PALMETTO PARK RD
    BOCA RATON, FL
    ZIP 33428
  • Facility Phone: 561 962-4006
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KRISTI N. BOURAS
  • NPI Number: 1699901132
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2228430
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 11449 W PALMETTO PARK RD
City BOCA RATON
State FL
ZIP 33428
Phone 561 962-4006
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/25/2023
Certificate Expiration Date 6/24/2025
Facility Type Pharmacy
Lab Director KRISTI N. BOURAS

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