10D2012341 CLIA NUMBER - WALGREEN CO

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Laboratory Demographics

CLIA Number: 10D2012341

Facility Name: WALGREEN CO

Facility Address:
337 75TH AVE
ST PETERSBURG BEACH, FL
ZIP 33706
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Facility Phone Number: 727 367-7657

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1174538474

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	10D2012341
LAB Type	Pharmacy
Facility Name	WALGREEN CO
Street	337 75TH AVE
City	ST PETERSBURG BEACH
State	FL
ZIP	33706
Phone	727 367-7657
CertificateType	4
CertificateEffectiveDate	10/25/2023
CertificateExpirationDate	10/24/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024