10D2012448 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2012448
  • Facility Name: WALGREEN CO
  • Facility Address: 28100 S TAMIAMI TRL
    BONITA SPRINGS, FL
    ZIP 34134
  • Facility Phone: 239 495-8552
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SCOTT BOOTH
  • NPI Number: 1144235441
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2012448
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 28100 S TAMIAMI TRL
City BONITA SPRINGS
State FL
ZIP 34134
Phone 239 495-8552
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/15/2025
Certificate Expiration Date 7/14/2027
Facility Type Pharmacy
Lab Director SCOTT BOOTH

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