10D2012325 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2012325
  • Facility Name: WALGREEN CO
  • Facility Address: 897 SAXON BLVD
    ORANGE CITY, FL
    ZIP 32763
  • Facility Phone: 386 775-5336
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRITTANY A. WRIGHT
  • NPI Number: 1528073657
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2012325
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 897 SAXON BLVD
City ORANGE CITY
State FL
ZIP 32763
Phone 386 775-5336
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/14/2025
Certificate Expiration Date 4/13/2027
Facility Type Pharmacy
Lab Director BRITTANY A. WRIGHT

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