10D2012000 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2012000
  • Facility Name: WALGREEN CO
  • Facility Address: 901 S 14TH ST
    LEESBURG, FL
    ZIP 34748
  • Facility Phone: 352 787-3506
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MORGAN BYRON
  • NPI Number: 1649287624
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2012000
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 901 S 14TH ST
City LEESBURG
State FL
ZIP 34748
Phone 352 787-3506
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2023
Certificate Expiration Date 11/14/2025
Facility Type Pharmacy
Lab Director MORGAN BYRON

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