10D1089726 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D1089726
  • Facility Name: WALGREEN CO
  • Facility Address: 1800 W INDIANTOWN RD
    JUPITER, FL
    ZIP 33458
  • Facility Phone: 561 744-6822
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: FRANCIS HENRY GORZYNSKI
  • NPI Number: 1396752382
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D1089726
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 1800 W INDIANTOWN RD
City JUPITER
State FL
ZIP 33458
Phone 561 744-6822
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/17/2025
Certificate Expiration Date 5/16/2027
Facility Type Pharmacy
Lab Director FRANCIS HENRY GORZYNSKI

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