10D2012362 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2012362
  • Facility Name: WALGREEN CO
  • Facility Address: 3077 54TH AVE S
    SAINT PETERSBURG, FL
    ZIP 33712
  • Facility Phone: 727 362-1505
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LE H. THINH
  • NPI Number: 1497762579
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2012362
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 3077 54TH AVE S
City SAINT PETERSBURG
State FL
ZIP 33712
Phone 727 362-1505
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/2025
Certificate Expiration Date 7/11/2027
Facility Type Pharmacy
Lab Director LE H. THINH

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