10D2012368 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2012368
  • Facility Name: WALGREEN CO
  • Facility Address: 4501 13TH ST
    SAINT CLOUD, FL
    ZIP 34769
  • Facility Phone: 407 957-2600
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AGNIESZKA SPAULDING
  • NPI Number: 1073528105
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2012368
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 4501 13TH ST
City SAINT CLOUD
State FL
ZIP 34769
Phone 407 957-2600
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 AGNIESZKA SPAULDING

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