10D2229776 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

CLIA Number: 10D2229776

Facility Name: WALGREEN CO

Facility Address:
700 W BROWARD BLVD WALGREENS #04178
FORT LAUDERDALE, FL
ZIP 33312
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Facility Phone Number: 847 527-3972

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1366457509

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	10D2229776
LAB Type	Pharmacy
Facility Name	WALGREEN CO
Street	700 W BROWARD BLVD WALGREENS #04178
City	FORT LAUDERDALE
State	FL
ZIP	33312
Phone	847 527-3972
CertificateType	4
CertificateEffectiveDate	7/16/2023
CertificateExpirationDate	7/15/2025
FacilityType	Waiver

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