10D2297627 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2297627
  • Facility Name: WALGREEN CO
  • Facility Address: 14720 N KENDALL DR
    MIAMI, FL
    ZIP 33196
  • Facility Phone: 305 385-6030
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JORBRIMAR E. TUMA
  • NPI Number: 1386651370
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2297627
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 14720 N KENDALL DR
City MIAMI
State FL
ZIP 33196
Phone 305 385-6030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2024
Certificate Expiration Date 1/17/2026
Facility Type Pharmacy
Lab Director JORBRIMAR E. TUMA

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