10D2230771 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

CLIA Number: 10D2230771

Facility Name: WALGREEN CO

Facility Address:
509 W HALLANDALE BEACH BLVD
HALLANDALE BEACH, FL
ZIP 33009
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Facility Phone Number: 954 456-3992

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1518974500

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	10D2230771
LAB Type	Pharmacy
Facility Name	WALGREEN CO
Street	509 W HALLANDALE BEACH BLVD
City	HALLANDALE BEACH
State	FL
ZIP	33009
Phone	954 456-3992
CertificateType	4
CertificateEffectiveDate	7/28/2023
CertificateExpirationDate	7/27/2025
FacilityType	Waiver

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