10D2233854 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2233854
  • Facility Name: WALGREEN CO
  • Facility Address: 4475 MELALEUCA LN WALGREENS #03487
    LAKE WORTH, FL
    ZIP 33461
  • Facility Phone: 561 964-4732
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAMON S. GRILL
  • NPI Number: 1578578795
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2233854
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 4475 MELALEUCA LN WALGREENS #03487
City LAKE WORTH
State FL
ZIP 33461
Phone 561 964-4732
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/26/2025
Certificate Expiration Date 8/25/2027
Facility Type Pharmacy
Lab Director DAMON S. GRILL

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