40D2213467 CLIA NUMBER - WALGREENS#15462

Laboratory Demographics

  • CLIA Code: 40D2213467
  • Facility Name: WALGREENS#15462
  • Facility Address: PLAZA JUANA DIAZ BO AMUELAS PR -149
    JUANA DIAZ, PR
    ZIP 00795
  • Facility Phone: 787 705-6555
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MRS. CELINES RODRIGUEZ
  • NPI Number: 1255346300
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 40D2213467
LAB Type Pharmacy
Facility Name WALGREENS#15462
Street PLAZA JUANA DIAZ BO AMUELAS PR -149
City JUANA DIAZ
State PR
ZIP 00795
Phone 787 705-6555
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