10D2012269 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2012269
  • Facility Name: WALGREEN CO
  • Facility Address: 10899 BAYMEADOWS RD
    JACKSONVILLE, FL
    ZIP 32256
  • Facility Phone: 904 519-6277
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MINH H. LE
  • NPI Number: 1558376723
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2012269
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 10899 BAYMEADOWS RD
City JACKSONVILLE
State FL
ZIP 32256
Phone 904 519-6277
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2025
Certificate Expiration Date 5/20/2027
Facility Type Pharmacy
Lab Director MINH H. LE

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This page was last updated on: 6/4/2025