10D2230835 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2230835
  • Facility Name: WALGREEN CO
  • Facility Address: 3063 NORTHLAKE BLVD
    PALM BEACH GARDENS, FL
    ZIP 33403
  • Facility Phone: 561 881-7562
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CASSANDRA GRANBERRY
  • NPI Number: 1730194911
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2230835
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 3063 NORTHLAKE BLVD
City PALM BEACH GARDENS
State FL
ZIP 33403
Phone 561 881-7562
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 CASSANDRA GRANBERRY

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