40D2255612 CLIA NUMBER - WALGREENS # 00121

Laboratory Demographics

  • CLIA Code: 40D2255612
  • Facility Name: WALGREENS # 00121
  • Facility Address: 106 CALLE PIEL CANELA
    COAMO, PR
    ZIP 00769
  • Facility Phone: 787 803-6802
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CELINES RODRIGUEZ
  • NPI Number: 1962417022
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 40D2255612
LAB Type Pharmacy
Facility Name WALGREENS # 00121
Street 106 CALLE PIEL CANELA
City COAMO
State PR
ZIP 00769
Phone 787 803-6802
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