40D2223117 CLIA NUMBER - WALGREENS # 00117

Laboratory Demographics

  • CLIA Code: 40D2223117
  • Facility Name: WALGREENS # 00117
  • Facility Address: CARR PR 181 , Y # 850 BO CUEVAS
    TRUJILLO ALTO, PR
    ZIP 00976
  • Facility Phone: 787 705-6555
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CELINES RODRIGUEZ
  • NPI Number: 1902079130
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 40D2223117
LAB Type Pharmacy
Facility Name WALGREENS # 00117
Street CARR PR 181 , Y # 850 BO CUEVAS
City TRUJILLO ALTO
State PR
ZIP 00976
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