10D2012418 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2012418
  • Facility Name: WALGREEN CO
  • Facility Address: 5702 LEE VISTAS BLVD
    ORLANDO, FL
    ZIP 32822
  • Facility Phone: 407 438-2148
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GUILDA S. OUELLETTE
  • NPI Number: 1356357859
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2012418
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 5702 LEE VISTAS BLVD
City ORLANDO
State FL
ZIP 32822
Phone 407 438-2148
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 GUILDA S. OUELLETTE

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