40D2229377 CLIA NUMBER - WALGREENS # 13084

Laboratory Demographics

  • CLIA Code: 40D2229377
  • Facility Name: WALGREENS # 13084
  • Facility Address: 200 GRAND BOULEVARD LOS PRADOS
    CAGUAS, PR
    ZIP 00726
  • Facility Phone: 787 744-2347
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CELINES RODRIGUEZ
  • NPI Number: 1669487732
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 40D2229377
LAB Type Pharmacy
Facility Name WALGREENS # 13084
Street 200 GRAND BOULEVARD LOS PRADOS
City CAGUAS
State PR
ZIP 00726
Phone 787 744-2347
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