10D2291128 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2291128
  • Facility Name: WALGREEN CO
  • Facility Address: 10609 SW 40TH ST
    MIAMI, FL
    ZIP 33165
  • Facility Phone: 305 553-8273
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RAFAEL J. QUINTANA
  • NPI Number: 1619984648
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2291128
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 10609 SW 40TH ST
City MIAMI
State FL
ZIP 33165
Phone 305 553-8273
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/5/2025
Certificate Expiration Date 10/4/2027
Facility Type Pharmacy
Lab Director RAFAEL J. QUINTANA

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