10D2259356 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2259356
  • Facility Name: WALGREEN CO
  • Facility Address: 1480 NE MIAMI GARDENS DR
    NORTH MIAMI BEACH, FL
    ZIP 33179
  • Facility Phone: 305 949-3508
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNIFER N. BRADSHAW
  • NPI Number: 1902811045
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2259356
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 1480 NE MIAMI GARDENS DR
City NORTH MIAMI BEACH
State FL
ZIP 33179
Phone 305 949-3508
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/5/2024
Certificate Expiration Date 5/4/2026
Facility Type Pharmacy
Lab Director JENNIFER N. BRADSHAW

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