10D2011908 CLIA NUMBER - WALGREENS CO

Laboratory Demographics

  • CLIA Code: 10D2011908
  • Facility Name: WALGREENS CO
  • Facility Address: 3505 UNIVERSITY BLVD W
    JACKSONVILLE, FL
    ZIP 32217
  • Facility Phone: 904 636-0779
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AIDA L. RODRIGUEZ
  • NPI Number: 1508871617
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2011908
LAB Type Pharmacy
Facility Name WALGREENS CO
Street 3505 UNIVERSITY BLVD W
City JACKSONVILLE
State FL
ZIP 32217
Phone 904 636-0779
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/28/2025
Certificate Expiration Date 6/27/2027
Facility Type Pharmacy
Lab Director AIDA L. RODRIGUEZ

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