40D2223113 CLIA NUMBER - WALGREENS # 07710

Laboratory Demographics

  • CLIA Code: 40D2223113
  • Facility Name: WALGREENS # 07710
  • Facility Address: CALLE PUBLICA Y PR 2
    VEGA BAJA, PR
    ZIP 00693
  • Facility Phone: 787 705-6555
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CELINES RODRIGUEZ
  • NPI Number: 1841205911
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 40D2223113
LAB Type Pharmacy
Facility Name WALGREENS # 07710
Street CALLE PUBLICA Y PR 2
City VEGA BAJA
State PR
ZIP 00693
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

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