10D2012449 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2012449
  • Facility Name: WALGREEN CO
  • Facility Address: 15295 COLLIER BLVD
    NAPLES, FL
    ZIP 34119
  • Facility Phone: 239 352-7354
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARYANN SIMO
  • NPI Number: 1417964594
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2012449
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 15295 COLLIER BLVD
City NAPLES
State FL
ZIP 34119
Phone 239 352-7354
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2025
Certificate Expiration Date 6/3/2027
Facility Type Pharmacy
Lab Director MARYANN SIMO

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