40D2229358 CLIA NUMBER - WALGREENS # 00714

Laboratory Demographics

  • CLIA Code: 40D2229358
  • Facility Name: WALGREENS # 00714
  • Facility Address: 1000 AVE RAMON LUIS RIVERA
    BAYAMON, PR
    ZIP 00959
  • Facility Phone: 787 787-9033
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CELINES RODRIGUEZ
  • NPI Number: 1053326959
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 40D2229358
LAB Type Pharmacy
Facility Name WALGREENS # 00714
Street 1000 AVE RAMON LUIS RIVERA
City BAYAMON
State PR
ZIP 00959
Phone 787 787-9033
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/2025
Certificate Expiration Date 7/11/2027
Facility Type Pharmacy
Lab Director CELINES RODRIGUEZ

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