40D2132820 CLIA NUMBER - WALGREENS #788

Laboratory Demographics

  • CLIA Code: 40D2132820
  • Facility Name: WALGREENS #788
  • Facility Address: CARR PR 24 & PR 25, BARRIO PUEBLO VIEJO
    GUAYNABO, PR
    ZIP 00965
  • Facility Phone: 787 782-1798
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MRS. SANDRA NUNEZ
  • NPI Number: 1669591483
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 40D2132820
LAB Type Pharmacy
Facility Name WALGREENS #788
Street CARR PR 24 & PR 25, BARRIO PUEBLO VIEJO
City GUAYNABO
State PR
ZIP 00965
Phone 787 782-1798
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/28/2025
Certificate Expiration Date 6/27/2027
Facility Type Pharmacy
Lab Director MRS. SANDRA NUNEZ

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