40D2228966 CLIA NUMBER - WALGREENS # 00380

Laboratory Demographics

  • CLIA Code: 40D2228966
  • Facility Name: WALGREENS # 00380
  • Facility Address: 4699 RR 5
    BAYAMON, PR
    ZIP 00956
  • Facility Phone: 787 799-4699
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CELINES RODRIGUEZ
  • NPI Number: 1700059953
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 40D2228966
LAB Type Pharmacy
Facility Name WALGREENS # 00380
Street 4699 RR 5
City BAYAMON
State PR
ZIP 00956
Phone 787 799-4699
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2025
Certificate Expiration Date 7/5/2027
Facility Type Pharmacy
Lab Director CELINES RODRIGUEZ

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