10D2012344 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2012344
  • Facility Name: WALGREEN CO
  • Facility Address: 2420 E COLONIAL DR
    ORLANDO, FL
    ZIP 32803
  • Facility Phone: 407 894-6781
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GEORGE S. GOBRIAL
  • NPI Number: 1578578746
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2012344
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 2420 E COLONIAL DR
City ORLANDO
State FL
ZIP 32803
Phone 407 894-6781
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2023
Certificate Expiration Date 7/8/2025
Facility Type Pharmacy
Lab Director GEORGE S. GOBRIAL

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This page was last updated on: 6/4/2025