10D2011998 CLIA NUMBER - WALGREEN CO

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Laboratory Demographics

CLIA Number: 10D2011998

Facility Name: WALGREEN CO

Facility Address:
3455 SW ARCHER RD
GAINESVILLE, FL
ZIP 32608
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Facility Phone Number: 352 373-9572

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1023023215

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	10D2011998
LAB Type	Pharmacy
Facility Name	WALGREEN CO
Street	3455 SW ARCHER RD
City	GAINESVILLE
State	FL
ZIP	32608
Phone	352 373-9572
CertificateType	4
CertificateEffectiveDate	3/31/2023
CertificateExpirationDate	3/30/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024