10D2232318 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2232318
  • Facility Name: WALGREEN CO
  • Facility Address: 770 W 29TH ST
    HIALEAH, FL
    ZIP 33012
  • Facility Phone: 305 884-2720
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MIRY BESALIS
  • NPI Number: 1497761936
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2232318
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 770 W 29TH ST
City HIALEAH
State FL
ZIP 33012
Phone 305 884-2720
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2025
Certificate Expiration Date 8/11/2027
Facility Type Pharmacy
Lab Director MIRY BESALIS

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