10D2012424 CLIA NUMBER - WALGREENS CO

Laboratory Demographics

  • CLIA Code: 10D2012424
  • Facility Name: WALGREENS CO
  • Facility Address: 1202 N MAGNOLIA DR
    TALLAHASSEE, FL
    ZIP 32308
  • Facility Phone: 850 877-3075
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NICOLE A. WILSON-BUTLER
  • NPI Number: 1417051640
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2012424
LAB Type Pharmacy
Facility Name WALGREENS CO
Street 1202 N MAGNOLIA DR
City TALLAHASSEE
State FL
ZIP 32308
Phone 850 877-3075
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/10/2025
Certificate Expiration Date 5/9/2027
Facility Type Pharmacy
Lab Director NICOLE A. WILSON-BUTLER

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