10D2012410 CLIA NUMBER - WALGREENS CO

Laboratory Demographics

  • CLIA Code: 10D2012410
  • Facility Name: WALGREENS CO
  • Facility Address: 3301 EDGEWATER DR
    ORLANDO, FL
    ZIP 32804
  • Facility Phone: 407 649-7859
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RAJ R. PATEL
  • NPI Number: 1093720138
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2012410
LAB Type Pharmacy
Facility Name WALGREENS CO
Street 3301 EDGEWATER DR
City ORLANDO
State FL
ZIP 32804
Phone 407 649-7859
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/11/2025
Certificate Expiration Date 3/10/2027
Facility Type Pharmacy
Lab Director RAJ R. PATEL

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