10D2009669 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2009669
  • Facility Name: WALGREEN CO
  • Facility Address: 6465 S TAMIAMI TRL
    SARASOTA, FL
    ZIP 34231
  • Facility Phone: 941 921-9222
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNIFER A. HILES
  • NPI Number: 1194730416
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2009669
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 6465 S TAMIAMI TRL
City SARASOTA
State FL
ZIP 34231
Phone 941 921-9222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2025
Certificate Expiration Date 4/22/2027
Facility Type Pharmacy
Lab Director JENNIFER A. HILES

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