10D2289797 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2289797
  • Facility Name: WALGREEN CO
  • Facility Address: 3003 YAMATO RD STE C10
    BOCA RATON, FL
    ZIP 33434
  • Facility Phone: 561 241-1105
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SAMEH ATA
  • NPI Number: 1699780999
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2289797
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 3003 YAMATO RD STE C10
City BOCA RATON
State FL
ZIP 33434
Phone 561 241-1105
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/15/2025
Certificate Expiration Date 9/14/2027
Facility Type Pharmacy
Lab Director SAMEH ATA

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