10D2289800 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2289800
  • Facility Name: WALGREEN CO
  • Facility Address: 21324 ST ANDREWS BLVD
    BOCA RATON, FL
    ZIP 33433
  • Facility Phone: 561 368-5759
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LEANNE S. PETROUSKE
  • NPI Number: 1871508085
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2289800
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 21324 ST ANDREWS BLVD
City BOCA RATON
State FL
ZIP 33433
Phone 561 368-5759
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 LEANNE S. PETROUSKE

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