40D2255649 CLIA NUMBER - WALGREENS # 00555

Laboratory Demographics

  • CLIA Code: 40D2255649
  • Facility Name: WALGREENS # 00555
  • Facility Address: 505 AVE HOSTOS
    MAYAGUEZ, PR
    ZIP 00680
  • Facility Phone: (787) 831-0674
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CELINES RODRIGUEZ
  • NPI Number: 1710162508
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 40D2255649
LAB Type Pharmacy
Facility Name WALGREENS # 00555
Street 505 AVE HOSTOS
City MAYAGUEZ
State PR
ZIP 00680
Phone 7878310674
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/16/2026
Certificate Expiration Date 3/15/2028
Facility Type Pharmacy
Lab Director CELINES RODRIGUEZ

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This page was last updated on: 5/18/2026