10D2229220 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

CLIA Number: 10D2229220

Facility Name: WALGREEN CO

Facility Address:
10110 LYONS RD
BOYNTON BEACH, FL
ZIP 33473
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Facility Phone Number: 561 880-1523

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1144544065

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 10D2229220
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 10110 LYONS RD
City BOYNTON BEACH
State FL
ZIP 33473
Phone 561 880-1523
CertificateType 4
CertificateEffectiveDate 7/9/2023
CertificateExpirationDate 7/8/2025
FacilityType Waiver

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