40D2229380 CLIA NUMBER - WALGREENS # 13844

Laboratory Demographics

  • CLIA Code: 40D2229380
  • Facility Name: WALGREENS # 13844
  • Facility Address: 1700 CARR 3
    CANOVANAS, PR
    ZIP 00729
  • Facility Phone: 787 957-8050
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CELINES RODRIGUEZ
  • NPI Number: 1265720437
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 40D2229380
LAB Type Pharmacy
Facility Name WALGREENS # 13844
Street 1700 CARR 3
City CANOVANAS
State PR
ZIP 00729
Phone 787 957-8050
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