40D2255641 CLIA NUMBER - WALGREENS # 09118

Laboratory Demographics

  • CLIA Code: 40D2255641
  • Facility Name: WALGREENS # 09118
  • Facility Address: 175 CARRETERA PR 385
    PENUELAS, PR
    ZIP 00624
  • Facility Phone: 787 836-2687
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GLORINES RODRIGUEZ
  • NPI Number: 1154508463
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 40D2255641
LAB Type Pharmacy
Facility Name WALGREENS # 09118
Street 175 CARRETERA PR 385
City PENUELAS
State PR
ZIP 00624
Phone 787 836-2687
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 GLORINES RODRIGUEZ

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 9/29/2025