10D2012334 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2012334
  • Facility Name: WALGREEN CO
  • Facility Address: 1490 S US HWY 41 BYP S
    VENICE, FL
    ZIP 34285
  • Facility Phone: 813 597-9225
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RANDY M. HILL
  • NPI Number: 1598770794
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2012334
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 1490 S US HWY 41 BYP S
City VENICE
State FL
ZIP 34285
Phone 813 597-9225
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/3/2025
Certificate Expiration Date 2/2/2027
Facility Type Pharmacy
Lab Director RANDY M. HILL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 3/20/2025