40D2229386 CLIA NUMBER - WALGREENS # 15441

Laboratory Demographics

  • CLIA Code: 40D2229386
  • Facility Name: WALGREENS # 15441
  • Facility Address: 170 CARR 189
    GURABO, PR
    ZIP 00778
  • Facility Phone: 787 712-0797
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CELINES RODRIGUEZ
  • NPI Number: 1144617945
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 40D2229386
LAB Type Pharmacy
Facility Name WALGREENS # 15441
Street 170 CARR 189
City GURABO
State PR
ZIP 00778
Phone 787 712-0797
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/2023
Certificate Expiration Date 7/11/2025
Facility Type Pharmacy
Lab Director CELINES RODRIGUEZ

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This page was last updated on: 3/20/2025