40D2255601 CLIA NUMBER - WALGREENS # 07706

Laboratory Demographics

  • CLIA Code: 40D2255601
  • Facility Name: WALGREENS # 07706
  • Facility Address: 150 F CALLE VIZCARRONDO
    SAN JUAN, PR
    ZIP 00926
  • Facility Phone: 787 755-1375
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CELINES RODRIGUEZ
  • NPI Number: 1578957403
  • Taxonomy: 183500000X - Pharmacist

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CLIA Record

Field Name Field Value
CLIA Number 40D2255601
LAB Type Pharmacy
Facility Name WALGREENS # 07706
Street 150 F CALLE VIZCARRONDO
City SAN JUAN
State PR
ZIP 00926
Phone 787 755-1375
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: 9/29/2025