10D2012264 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2012264
  • Facility Name: WALGREEN CO
  • Facility Address: 1801 N DAVIS ST
    JACKSONVILLE, FL
    ZIP 32209
  • Facility Phone: 904 353-1942
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RODNEY RANSOM
  • NPI Number: 1972778454
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2012264
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 1801 N DAVIS ST
City JACKSONVILLE
State FL
ZIP 32209
Phone 904 353-1942
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2025
Certificate Expiration Date 6/30/2027
Facility Type Pharmacy
Lab Director RODNEY RANSOM

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