10D2229836 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2229836
  • Facility Name: WALGREEN CO
  • Facility Address: 12400 PEMBROKE RD
    MIRAMAR, FL
    ZIP 33027
  • Facility Phone: 847 527-3972
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHERIA C. LEWIS
  • NPI Number: 1194745604
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2229836
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 12400 PEMBROKE RD
City MIRAMAR
State FL
ZIP 33027
Phone 847 527-3972
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2025
Certificate Expiration Date 7/15/2027
Facility Type Pharmacy
Lab Director CHERIA C. LEWIS

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