10D2012338 CLIA NUMBER - WALGREENS CO

Laboratory Demographics

  • CLIA Code: 10D2012338
  • Facility Name: WALGREENS CO
  • Facility Address: 4600 S WASHINGTON AVE
    TITUSVILLE, FL
    ZIP 32780
  • Facility Phone: 321 269-7573
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HANA DESOFF
  • NPI Number: 1245246735
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2012338
LAB Type Pharmacy
Facility Name WALGREENS CO
Street 4600 S WASHINGTON AVE
City TITUSVILLE
State FL
ZIP 32780
Phone 321 269-7573
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2023
Certificate Expiration Date 10/25/2025
Facility Type Pharmacy
Lab Director HANA DESOFF

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: 9/29/2025