40D2055758 CLIA NUMBER - WALGREENS CESAR GONZALEZ (ST 283)

Laboratory Demographics

  • CLIA Code: 40D2055758
  • Facility Name: WALGREENS CESAR GONZALEZ (ST 283)
  • Facility Address: 685 CALLE CESAR GONZALEZ
    SAN JUAN, PR
    ZIP 00918
  • Facility Phone: 787 294-1730
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MRS. MARICELIS RAMOS
  • NPI Number: 1790184430
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 40D2055758
LAB Type Pharmacy
Facility Name WALGREENS CESAR GONZALEZ (ST 283)
Street 685 CALLE CESAR GONZALEZ
City SAN JUAN
State PR
ZIP 00918
Phone 787 294-1730
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. MARICELIS RAMOS

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