10D2230771 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2230771
  • Facility Name: WALGREEN CO
  • Facility Address: 509 W HALLANDALE BEACH BLVD
    HALLANDALE BEACH, FL
    ZIP 33009
  • Facility Phone: 954 456-3992
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: OWEN B. MOSS
  • NPI Number: 1518974500
  • Taxonomy: 333600000X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2025
Certificate Expiration Date 7/27/2027
Facility Type Pharmacy
Lab Director OWEN B. MOSS

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