40D2213463 CLIA NUMBER - WALGREENS #00030

Laboratory Demographics

  • CLIA Code: 40D2213463
  • Facility Name: WALGREENS #00030
  • Facility Address: AVE LA SIERRA Y LOMAS VERDES
    SAN JUAN, PR
    ZIP 00926
  • Facility Phone: 787 705-6560
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MRS. CELINES RODRIGUEZ
  • NPI Number: 1619982774
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 40D2213463
LAB Type Pharmacy
Facility Name WALGREENS #00030
Street AVE LA SIERRA Y LOMAS VERDES
City SAN JUAN
State PR
ZIP 00926
Phone 787 705-6560
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/12/2025
Certificate Expiration Date 2/11/2027
Facility Type Pharmacy
Lab Director MRS. CELINES RODRIGUEZ

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