40D2285643 CLIA NUMBER - WALGREENS # 21275

Laboratory Demographics

  • CLIA Code: 40D2285643
  • Facility Name: WALGREENS # 21275
  • Facility Address: 18 AVE LOS ROMEROS
    SAN JUAN, PR
    ZIP 00926
  • Facility Phone: 787 294-0494
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CELINES RODRIGUEZ
  • NPI Number: 1780952457
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 40D2285643
LAB Type Pharmacy
Facility Name WALGREENS # 21275
Street 18 AVE LOS ROMEROS
City SAN JUAN
State PR
ZIP 00926
Phone 787 294-0494
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/17/2025
Certificate Expiration Date 7/16/2027
Facility Type Pharmacy
Lab Director CELINES RODRIGUEZ

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