10D2231255 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

CLIA Number: 10D2231255

Facility Name: WALGREEN CO

Facility Address:
1015 S FEDERAL HWY
DELRAY BEACH, FL
ZIP 33483
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Facility Phone Number: 561 278-4251

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1497761878

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	10D2231255
LAB Type	Pharmacy
Facility Name	WALGREEN CO
Street	1015 S FEDERAL HWY
City	DELRAY BEACH
State	FL
ZIP	33483
Phone	561 278-4251
CertificateType	4
CertificateEffectiveDate	8/2/2023
CertificateExpirationDate	8/1/2025
FacilityType	Waiver

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