10D2011994 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2011994
  • Facility Name: WALGREEN CO
  • Facility Address: 719 S STATE RD 19
    PALATKA, FL
    ZIP 32177
  • Facility Phone: 386 328-6787
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER E. ABLES
  • NPI Number: 1043225246
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2011994
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 719 S STATE RD 19
City PALATKA
State FL
ZIP 32177
Phone 386 328-6787
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/12/2025
Certificate Expiration Date 4/11/2027
Facility Type Pharmacy
Lab Director CHRISTOPHER E. ABLES

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