10D2012412 CLIA NUMBER - WALGREENS CO

Laboratory Demographics

  • CLIA Code: 10D2012412
  • Facility Name: WALGREENS CO
  • Facility Address: 1402 OHIO AVE
    LYNN HAVEN, FL
    ZIP 32444
  • Facility Phone: 850 265-0499
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ASHLEI D. YATES
  • NPI Number: 1700891942
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2012412
LAB Type Pharmacy
Facility Name WALGREENS CO
Street 1402 OHIO AVE
City LYNN HAVEN
State FL
ZIP 32444
Phone 850 265-0499
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/7/2025
Certificate Expiration Date 7/6/2027
Facility Type Pharmacy
Lab Director ASHLEI D. YATES

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