10D2012240 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2012240
  • Facility Name: WALGREEN CO
  • Facility Address: 18910 US HIGHWAY 441
    MOUNT DORA, FL
    ZIP 32757
  • Facility Phone: 352 735-0600
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: REBECCA D. PERSAUD
  • NPI Number: 1225043524
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2012240
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 18910 US HIGHWAY 441
City MOUNT DORA
State FL
ZIP 32757
Phone 352 735-0600
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 REBECCA D. PERSAUD

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