10D2229835 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

CLIA Number: 10D2229835

Facility Name: WALGREEN CO

Facility Address:
6390 N STATE ROAD 7
COCONUT CREEK, FL
ZIP 33073
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Facility Phone Number: 847 527-3972

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1528160876

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	10D2229835
LAB Type	Pharmacy
Facility Name	WALGREEN CO
Street	6390 N STATE ROAD 7
City	COCONUT CREEK
State	FL
ZIP	33073
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