10D2012359 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2012359
  • Facility Name: WALGREEN CO
  • Facility Address: 1109 PALM COAST PKWY SW
    PALM COAST, FL
    ZIP 32137
  • Facility Phone: (386) 445-7041
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOANNE JENSEN
  • NPI Number: 1386659605
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2012359
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 1109 PALM COAST PKWY SW
City PALM COAST
State FL
ZIP 32137
Phone 3864457041
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2025
Certificate Expiration Date 3/30/2027
Facility Type Pharmacy
Lab Director JOANNE JENSEN

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This page was last updated on: 5/18/2026