10D2012386 CLIA NUMBER - WALGREEN CO

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Laboratory Demographics

CLIA Number: 10D2012386

Facility Name: WALGREEN CO

Facility Address:
3901 S TAMIAMI TRL
SARASOTA, FL
ZIP 34231
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Facility Phone Number: 941 926-2522

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1184630642

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	10D2012386
LAB Type	Pharmacy
Facility Name	WALGREEN CO
Street	3901 S TAMIAMI TRL
City	SARASOTA
State	FL
ZIP	34231
Phone	941 926-2522
CertificateType	4
CertificateEffectiveDate	3/11/2023
CertificateExpirationDate	3/10/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024