40D2055757 CLIA NUMBER - WALGREENS CONDADO (ST 217)

Laboratory Demographics

  • CLIA Code: 40D2055757
  • Facility Name: WALGREENS CONDADO (ST 217)
  • Facility Address: 1130 ASHFORD CONDADO INTERSECCION ASHFORD Y CONDADO AVE
    SAN JUAN, PR
    ZIP 00907
  • Facility Phone: 787 721-7895
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MRS. MILARIS GUILBES
  • NPI Number: 1033120266
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 40D2055757
LAB Type Pharmacy
Facility Name WALGREENS CONDADO (ST 217)
Street 1130 ASHFORD CONDADO INTERSECCION ASHFORD Y CONDADO AVE
City SAN JUAN
State PR
ZIP 00907
Phone 787 721-7895
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2025
Certificate Expiration Date 3/17/2027
Facility Type Pharmacy
Lab Director MRS. MILARIS GUILBES

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