10D2011974 CLIA NUMBER - WALGREENS CO

Laboratory Demographics

  • CLIA Code: 10D2011974
  • Facility Name: WALGREENS CO
  • Facility Address: 2901 SW PORT ST LUCIE BLVD
    PORT SAINT LUCIE, FL
    ZIP 34953
  • Facility Phone: 772 336-3108
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KRIS JAMES ANAGNOSTU
  • NPI Number: 1376558411
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2011974
LAB Type Pharmacy
Facility Name WALGREENS CO
Street 2901 SW PORT ST LUCIE BLVD
City PORT SAINT LUCIE
State FL
ZIP 34953
Phone 772 336-3108
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2023
Certificate Expiration Date 11/7/2025
Facility Type Pharmacy
Lab Director KRIS JAMES ANAGNOSTU

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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