10D2012435 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2012435
  • Facility Name: WALGREEN CO
  • Facility Address: 4255 COMMERCIAL WAY
    SPRING HILL, FL
    ZIP 34606
  • Facility Phone: 352 597-7504
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MELISSA R. RAKAUSKAS
  • NPI Number: 1073528188
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2012435
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 4255 COMMERCIAL WAY
City SPRING HILL
State FL
ZIP 34606
Phone 352 597-7504
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/28/2025
Certificate Expiration Date 5/27/2027
Facility Type Pharmacy
Lab Director MELISSA R. RAKAUSKAS

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