10D2230645 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

CLIA Number: 10D2230645

Facility Name: WALGREEN CO

Facility Address:
1 W SUNRISE BLVD
FORT LAUDERDALE, FL
ZIP 33311
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Facility Phone Number: 954 767-4507

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1619983186

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	10D2230645
LAB Type	Pharmacy
Facility Name	WALGREEN CO
Street	1 W SUNRISE BLVD
City	FORT LAUDERDALE
State	FL
ZIP	33311
Phone	954 767-4507
CertificateType	4
CertificateEffectiveDate	7/27/2023
CertificateExpirationDate	7/26/2025
FacilityType	Waiver

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