40D2258144 CLIA NUMBER - WALGREENS # 01476

Laboratory Demographics

  • CLIA Code: 40D2258144
  • Facility Name: WALGREENS # 01476
  • Facility Address: PR 2 AND PR 402
    ANASCO, PR
    ZIP 00610
  • Facility Phone: 787 826-1090
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CELINES RODRIGUEZ
  • NPI Number: 1023023199
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 40D2258144
LAB Type Physician Office
Facility Name WALGREENS # 01476
Street PR 2 AND PR 402
City ANASCO
State PR
ZIP 00610
Phone 787 826-1090
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/18/2024
Certificate Expiration Date 4/17/2026
Facility Type Physician Office
Lab Director CELINES RODRIGUEZ

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