10D2012237 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2012237
  • Facility Name: WALGREEN CO
  • Facility Address: 125 E MAIN ST
    APOPKA, FL
    ZIP 32703
  • Facility Phone: 407 886-8911
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMPARO A. MIRANDA
  • NPI Number: 1295740504
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2012237
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 125 E MAIN ST
City APOPKA
State FL
ZIP 32703
Phone 407 886-8911
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2023
Certificate Expiration Date 11/2/2025
Facility Type Pharmacy
Lab Director AMPARO A. MIRANDA

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