40D2055761 CLIA NUMBER - WALGREENS CAMPO RICO (ST 363)

Laboratory Demographics

  • CLIA Code: 40D2055761
  • Facility Name: WALGREENS CAMPO RICO (ST 363)
  • Facility Address: 1115 AVE 65 INFANTERIA INT 65 INSFANTERIA Y CAMPO RICO
    SAN JUAN, PR
    ZIP 00924
  • Facility Phone: 787 768-4700
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MRS. SANDRA MORALES
  • NPI Number: 1255346318
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 40D2055761
LAB Type Pharmacy
Facility Name WALGREENS CAMPO RICO (ST 363)
Street 1115 AVE 65 INFANTERIA INT 65 INSFANTERIA Y CAMPO RICO
City SAN JUAN
State PR
ZIP 00924
Phone 787 768-4700
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. SANDRA MORALES

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