10D2011984 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2011984
  • Facility Name: WALGREEN CO
  • Facility Address: 3604 BLANDING BLVD
    JACKSONVILLE, FL
    ZIP 32210
  • Facility Phone: 904 778-8821
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DARREN SERAPHIN
  • NPI Number: 1497762470
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2011984
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 3604 BLANDING BLVD
City JACKSONVILLE
State FL
ZIP 32210
Phone 904 778-8821
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/11/2025
Certificate Expiration Date 3/10/2027
Facility Type Pharmacy
Lab Director DARREN SERAPHIN

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