10D2011980 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2011980
  • Facility Name: WALGREEN CO
  • Facility Address: 1250 NE JENSEN BEACH BLVD
    JENSEN BEACH, FL
    ZIP 34957
  • Facility Phone: 772 334-5886
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KRISTEN A. HEETER
  • NPI Number: 1518974591
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2011980
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 1250 NE JENSEN BEACH BLVD
City JENSEN BEACH
State FL
ZIP 34957
Phone 772 334-5886
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2025
Certificate Expiration Date 9/19/2027
Facility Type Pharmacy
Lab Director KRISTEN A. HEETER

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