40D2223107 CLIA NUMBER - WALGREENS # 10825

Laboratory Demographics

  • CLIA Code: 40D2223107
  • Facility Name: WALGREENS # 10825
  • Facility Address: CARR ESTATAL PR # 506 & LOS FLAMBOYANES KM 1
    PONCE, PR
    ZIP 00780
  • Facility Phone: 787 705-6555
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CELINES RODRIGUEZ
  • NPI Number: 1912231960
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 40D2223107
LAB Type Pharmacy
Facility Name WALGREENS # 10825
Street CARR ESTATAL PR # 506 & LOS FLAMBOYANES KM 1
City PONCE
State PR
ZIP 00780
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 5/4/2025
Certificate Expiration Date 5/3/2027
Facility Type Pharmacy
Lab Director CELINES RODRIGUEZ

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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