40D2228967 CLIA NUMBER - WALGREENS # 00289

Laboratory Demographics

CLIA Number: 40D2228967

Facility Name: WALGREENS # 00289

Facility Address:
350 CARR 830
BAYAMON, PR
ZIP 00957
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Facility Phone Number: 787 279-8202

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1992978159

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	40D2228967
LAB Type	Pharmacy
Facility Name	WALGREENS # 00289
Street	350 CARR 830
City	BAYAMON
State	PR
ZIP	00957
Phone	787 279-8202
CertificateType	4
CertificateEffectiveDate	7/6/2023
CertificateExpirationDate	7/5/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024