10D2230719 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2230719
  • Facility Name: WALGREEN CO
  • Facility Address: 4529 W HILLSBORO BLVD
    COCONUT CREEK, FL
    ZIP 33073
  • Facility Phone: 954 480-9132
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACQUELINE A. LEWIS
  • NPI Number: 1750398830
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2230719
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 4529 W HILLSBORO BLVD
City COCONUT CREEK
State FL
ZIP 33073
Phone 954 480-9132
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 JACQUELINE A. LEWIS

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