10D2288435 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2288435
  • Facility Name: WALGREEN CO
  • Facility Address: 15 S OCEAN BLVD
    POMPANO BEACH, FL
    ZIP 33062
  • Facility Phone: 954 946-4557
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GERALD P. VENTRE
  • NPI Number: 1255346383
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2288435
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 15 S OCEAN BLVD
City POMPANO BEACH
State FL
ZIP 33062
Phone 954 946-4557
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/25/2025
Certificate Expiration Date 8/24/2027
Facility Type Pharmacy
Lab Director GERALD P. VENTRE

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