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40D2295834 CLIA NUMBER - WALGREENS #07706

Laboratory Demographics

CLIA Number: 40D2295834

Facility Name: WALGREENS #07706

Facility Address:
150 CALLE F VIZCARRONDO
SAN JUAN, PR
ZIP 00926
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Facility Phone Number: 787 751-7219

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1073786208

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name Field Value
CLIA Number 40D2295834
LAB Type Pharmacy
Facility Name WALGREENS #07706
Street 150 CALLE F VIZCARRONDO
City SAN JUAN
State PR
ZIP 00926
Phone 787 751-7219
CertificateType 4
CertificateEffectiveDate 12/18/2023
CertificateExpirationDate 12/17/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024