10D2012437 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2012437
  • Facility Name: WALGREEN CO
  • Facility Address: 1565 AIRPORT RD S
    NAPLES, FL
    ZIP 34104
  • Facility Phone: 239 435-0454
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CRYSTAL M. MAHARAJ
  • NPI Number: 1639186620
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2012437
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 1565 AIRPORT RD S
City NAPLES
State FL
ZIP 34104
Phone 239 435-0454
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2025
Certificate Expiration Date 5/25/2027
Facility Type Pharmacy
Lab Director CRYSTAL M. MAHARAJ

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