10D2011993 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2011993
  • Facility Name: WALGREEN CO
  • Facility Address: 5108 NORWOOD AVE WALGREEN CO #03287
    JACKSONVILLE, FL
    ZIP 32208
  • Facility Phone: 904 768-4491
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DANIELLE DANIELS
  • NPI Number: 1144235490
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2011993
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 5108 NORWOOD AVE WALGREEN CO #03287
City JACKSONVILLE
State FL
ZIP 32208
Phone 904 768-4491
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2025
Certificate Expiration Date 3/3/2027
Facility Type Pharmacy
Lab Director DANIELLE DANIELS

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