10D2012341 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2012341
  • Facility Name: WALGREEN CO
  • Facility Address: 337 75TH AVE
    ST PETERSBURG BEACH, FL
    ZIP 33706
  • Facility Phone: 727 367-7657
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DONNA S. O NEAL
  • NPI Number: 1174538474
  • Taxonomy: 333600000X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2023
Certificate Expiration Date 10/24/2025
Facility Type Pharmacy
Lab Director DONNA S. O NEAL

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