10D2012451 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2012451
  • Facility Name: WALGREEN CO
  • Facility Address: 12780 TAMIAMI TRAIL E
    NAPLES, FL
    ZIP 34113
  • Facility Phone: 239 530-1356
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RICHARD P. GOODE
  • NPI Number: 1356356505
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2012451
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 12780 TAMIAMI TRAIL E
City NAPLES
State FL
ZIP 34113
Phone 239 530-1356
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/4/2024
Certificate Expiration Date 1/3/2026
Facility Type Pharmacy
Lab Director RICHARD P. GOODE

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