10D2012238 CLIA NUMBER - WALGREEN CO

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Laboratory Demographics

CLIA Number: 10D2012238

Facility Name: WALGREEN CO

Facility Address:
2501 S FRENCH AVE
SANFORD, FL
ZIP 32773
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Facility Phone Number: 407 321-0518

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1922013242

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	10D2012238
LAB Type	Pharmacy
Facility Name	WALGREEN CO
Street	2501 S FRENCH AVE
City	SANFORD
State	FL
ZIP	32773
Phone	407 321-0518
CertificateType	4
CertificateEffectiveDate	6/9/2023
CertificateExpirationDate	6/8/2025
FacilityType	Waiver

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