10D2012428 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2012428
  • Facility Name: WALGREEN CO
  • Facility Address: 7420 STATE ROAD 54
    NEW PORT RICHEY, FL
    ZIP 34653
  • Facility Phone: 727 376-5064
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NANCY STANKO
  • NPI Number: 1083629109
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2012428
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 7420 STATE ROAD 54
City NEW PORT RICHEY
State FL
ZIP 34653
Phone 727 376-5064
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2025
Certificate Expiration Date 7/29/2027
Facility Type Pharmacy
Lab Director NANCY STANKO

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