40D2132821 CLIA NUMBER - WALGREENS # 891

Laboratory Demographics

  • CLIA Code: 40D2132821
  • Facility Name: WALGREENS # 891
  • Facility Address: CENTRO COMERCIAL 65 INFANTERIA AVE 65 INFANTERIA
    SAN JUAN, PR
    ZIP 00923
  • Facility Phone: 787 767-1636
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. VICTOR NIEVES
  • NPI Number: 1255347696
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 40D2132821
LAB Type Pharmacy
Facility Name WALGREENS # 891
Street CENTRO COMERCIAL 65 INFANTERIA AVE 65 INFANTERIA
City SAN JUAN
State PR
ZIP 00923
Phone 787 767-1636
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 MR. VICTOR NIEVES

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