10D2230640 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2230640
  • Facility Name: WALGREEN CO
  • Facility Address: 15195 SW 42ND ST
    MIAMI, FL
    ZIP 33185
  • Facility Phone: 305 223-7895
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PATRICIA A. ACOSTA
  • NPI Number: 1023025004
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2230640
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 15195 SW 42ND ST
City MIAMI
State FL
ZIP 33185
Phone 305 223-7895
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/27/2025
Certificate Expiration Date 7/26/2027
Facility Type Pharmacy
Lab Director PATRICIA A. ACOSTA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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