10D2012401 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2012401
  • Facility Name: WALGREEN CO
  • Facility Address: 6730 US HWY 98 N
    LAKELAND, FL
    ZIP 33809
  • Facility Phone: 863 858-3829
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RICHARD F. ALDERMAN
  • NPI Number: 1033126024
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2012401
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 6730 US HWY 98 N
City LAKELAND
State FL
ZIP 33809
Phone 863 858-3829
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2023
Certificate Expiration Date 11/2/2025
Facility Type Pharmacy
Lab Director RICHARD F. ALDERMAN

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