10D2012234 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2012234
  • Facility Name: WALGREEN CO
  • Facility Address: 2550 N HIAWASSEE RD
    ORLANDO, FL
    ZIP 32818
  • Facility Phone: 407 293-7018
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LISA R. BENJAMIN
  • NPI Number: 1194730317
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2012234
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 2550 N HIAWASSEE RD
City ORLANDO
State FL
ZIP 32818
Phone 407 293-7018
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/2/2025
Certificate Expiration Date 6/1/2027
Facility Type Pharmacy
Lab Director LISA R. BENJAMIN

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