40D2255652 CLIA NUMBER - WALGREENS # 00670

Laboratory Demographics

  • CLIA Code: 40D2255652
  • Facility Name: WALGREENS # 00670
  • Facility Address: 100 AVE FENWAL
    SAN GERMAN, PR
    ZIP 00683
  • Facility Phone: 787 892-4406
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CELINES RODRIGUEZ
  • NPI Number: 1427467729
  • Taxonomy: 261QC1500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 40D2255652
LAB Type Pharmacy
Facility Name WALGREENS # 00670
Street 100 AVE FENWAL
City SAN GERMAN
State PR
ZIP 00683
Phone 787 892-4406
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