40D2255595 CLIA NUMBER - WALGREENS # 15286

Laboratory Demographics

  • CLIA Code: 40D2255595
  • Facility Name: WALGREENS # 15286
  • Facility Address: 105 CARR 31
    NAGUABO, PR
    ZIP 00718
  • Facility Phone: 787 874-8200
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CELINES RODRIGUEZ
  • NPI Number: 1417362344
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 40D2255595
LAB Type Pharmacy
Facility Name WALGREENS # 15286
Street 105 CARR 31
City NAGUABO
State PR
ZIP 00718
Phone 787 874-8200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/16/2024
Certificate Expiration Date 3/15/2026
Facility Type Pharmacy
Lab Director CELINES RODRIGUEZ

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This page was last updated on: 6/4/2025