10D2012371 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2012371
  • Facility Name: WALGREEN CO
  • Facility Address: 2050 E OSCEOLA PKWY
    KISSIMMEE, FL
    ZIP 34743
  • Facility Phone: 407 348-2323
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RAMIRO ROMAN JR
  • NPI Number: 1821003963
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2012371
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 2050 E OSCEOLA PKWY
City KISSIMMEE
State FL
ZIP 34743
Phone 407 348-2323
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2025
Certificate Expiration Date 6/3/2027
Facility Type Pharmacy
Lab Director RAMIRO ROMAN JR

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