10D2012372 CLIA NUMBER - WALGREEN CO

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Laboratory Demographics

CLIA Number: 10D2012372

Facility Name: WALGREEN CO

Facility Address:
1801 GULF TO BAY BLVD
CLEARWATER, FL
ZIP 33765
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Facility Phone Number: (727) 441-8694

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1174539563

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	10D2012372
LAB Type	PHARMACY
Facility Name	WALGREEN CO
Street	1801 GULF TO BAY BLVD
City	CLEARWATER
State	FL
ZIP	33765
Phone	(727) 441-8694

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This page was last updated on: 5/11/2023