10D2012422 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2012422
  • Facility Name: WALGREEN CO
  • Facility Address: 5205 RED BUG LAKE RD
    WINTER SPRINGS, FL
    ZIP 32708
  • Facility Phone: 407 696-2242
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MAX F. THOMPSON
  • NPI Number: 1073520094
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2012422
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 5205 RED BUG LAKE RD
City WINTER SPRINGS
State FL
ZIP 32708
Phone 407 696-2242
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/2/2025
Certificate Expiration Date 6/1/2027
Facility Type Pharmacy
Lab Director MAX F. THOMPSON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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