10D2012431 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2012431
  • Facility Name: WALGREEN CO
  • Facility Address: 11180 SPRING HILL DRIVE
    SPRING HILL, FL
    ZIP 34609
  • Facility Phone: 352 686-2235
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAVID W. LIVESAY
  • NPI Number: 1700893732
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2012431
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 11180 SPRING HILL DRIVE
City SPRING HILL
State FL
ZIP 34609
Phone 352 686-2235
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2025
Certificate Expiration Date 10/18/2027
Facility Type Pharmacy
Lab Director DAVID W. LIVESAY

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