10D2290330 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2290330
  • Facility Name: WALGREEN CO
  • Facility Address: 430 NE 6TH AVE
    DELRAY BEACH, FL
    ZIP 33483
  • Facility Phone: 561 272-5523
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TASHARA S. ADDERLEY
  • NPI Number: 1255346557
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2290330
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 430 NE 6TH AVE
City DELRAY BEACH
State FL
ZIP 33483
Phone 561 272-5523
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/25/2025
Certificate Expiration Date 9/24/2027
Facility Type Pharmacy
Lab Director TASHARA S. ADDERLEY

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