10D2011999 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2011999
  • Facility Name: WALGREEN CO
  • Facility Address: 1615 NW 13TH ST
    GAINESVILLE, FL
    ZIP 32609
  • Facility Phone: 352 380-9039
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL A. SHERWOOD
  • NPI Number: 1285649418
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2011999
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 1615 NW 13TH ST
City GAINESVILLE
State FL
ZIP 32609
Phone 352 380-9039
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/30/2025
Certificate Expiration Date 3/29/2027
Facility Type Pharmacy
Lab Director MICHAEL A. SHERWOOD

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