10D2288612 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2288612
  • Facility Name: WALGREEN CO
  • Facility Address: 998 SW 67TH AVE
    MIAMI, FL
    ZIP 33144
  • Facility Phone: 305 261-3602
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LISA C. MELLA
  • NPI Number: 1023023330
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2288612
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 998 SW 67TH AVE
City MIAMI
State FL
ZIP 33144
Phone 305 261-3602
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2025
Certificate Expiration Date 8/28/2027
Facility Type Pharmacy
Lab Director LISA C. MELLA

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