10D2012252 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2012252
  • Facility Name: WALGREEN CO
  • Facility Address: 4920 SE ABSHIER BLVD
    BELLEVIEW, FL
    ZIP 34420
  • Facility Phone: 352 245-0177
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DONALD A. WEBER
  • NPI Number: 1427063536
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2012252
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 4920 SE ABSHIER BLVD
City BELLEVIEW
State FL
ZIP 34420
Phone 352 245-0177
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2025
Certificate Expiration Date 10/3/2027
Facility Type Pharmacy
Lab Director DONALD A. WEBER

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