10D2011971 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2011971
  • Facility Name: WALGREEN CO
  • Facility Address: 1025 SE PORT ST LUCIE BLVD
    PORT SAINT LUCIE, FL
    ZIP 34952
  • Facility Phone: 772 335-4200
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NICOLE R. CURRY
  • NPI Number: 1861407066
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2011971
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 1025 SE PORT ST LUCIE BLVD
City PORT SAINT LUCIE
State FL
ZIP 34952
Phone 772 335-4200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/19/2025
Certificate Expiration Date 9/18/2027
Facility Type Pharmacy
Lab Director NICOLE R. CURRY

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