10D2012347 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2012347
  • Facility Name: WALGREEN CO
  • Facility Address: 1920 ALOMA AVE
    WINTER PARK, FL
    ZIP 32792
  • Facility Phone: 407 628-1899
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMANDA D. HAYNES
  • NPI Number: 1306853395
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2012347
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 1920 ALOMA AVE
City WINTER PARK
State FL
ZIP 32792
Phone 407 628-1899
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/4/2025
Certificate Expiration Date 5/3/2027
Facility Type Pharmacy
Lab Director AMANDA D. HAYNES

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