10D2229414 CLIA NUMBER - WALGREENS #15209

Laboratory Demographics

  • CLIA Code: 10D2229414
  • Facility Name: WALGREENS #15209
  • Facility Address: 4001 S DIXIE HWY
    WEST PALM BEACH, FL
    ZIP 33405
  • Facility Phone: 561 328-2157
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER AU
  • NPI Number: 1871915280
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2229414
LAB Type Pharmacy
Facility Name WALGREENS #15209
Street 4001 S DIXIE HWY
City WEST PALM BEACH
State FL
ZIP 33405
Phone 561 328-2157
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/2025
Certificate Expiration Date 7/11/2027
Facility Type Pharmacy
Lab Director CHRISTOPHER AU

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