10D2012398 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2012398
  • Facility Name: WALGREEN CO
  • Facility Address: 805 CAPE CORAL PKWY E
    CAPE CORAL, FL
    ZIP 33904
  • Facility Phone: 239 945-1076
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MELODY S. JOHNSON
  • NPI Number: 1437164738
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2012398
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 805 CAPE CORAL PKWY E
City CAPE CORAL
State FL
ZIP 33904
Phone 239 945-1076
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/27/2025
Certificate Expiration Date 5/26/2027
Facility Type Pharmacy
Lab Director MELODY S. JOHNSON

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