10D2012383 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2012383
  • Facility Name: WALGREEN CO
  • Facility Address: 4401 GULF BLVD
    SAINT PETERSBURG BCH, FL
    ZIP 33706
  • Facility Phone: 727 367-7754
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TRACY L. MCGAUGHEY
  • NPI Number: 1013923499
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2012383
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 4401 GULF BLVD
City SAINT PETERSBURG BCH
State FL
ZIP 33706
Phone 727 367-7754
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2023
Certificate Expiration Date 12/20/2025
Facility Type Pharmacy
Lab Director TRACY L. MCGAUGHEY

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