10D2012243 CLIA NUMBER - WALGREENS CO

Laboratory Demographics

  • CLIA Code: 10D2012243
  • Facility Name: WALGREENS CO
  • Facility Address: 406 ATLANTIC BLVD
    NEPTUNE BEACH, FL
    ZIP 32266
  • Facility Phone: 904 247-1953
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMY C. DERLIKOWSKI
  • NPI Number: 1508871716
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2012243
LAB Type Pharmacy
Facility Name WALGREENS CO
Street 406 ATLANTIC BLVD
City NEPTUNE BEACH
State FL
ZIP 32266
Phone 904 247-1953
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/23/2025
Certificate Expiration Date 6/22/2027
Facility Type Pharmacy
Lab Director AMY C. DERLIKOWSKI

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