10D2012576 CLIA NUMBER - WALGREEN CO

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Laboratory Demographics

CLIA Number: 10D2012576

Facility Name: WALGREEN CO

Facility Address:
6560 ULMERTON RD
LARGO, FL
ZIP 33771
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Facility Phone Number: 727 530-4729

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1548276934

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	10D2012576
LAB Type	Pharmacy
Facility Name	WALGREEN CO
Street	6560 ULMERTON RD
City	LARGO
State	FL
ZIP	33771
Phone	727 530-4729
CertificateType	4
CertificateEffectiveDate	7/30/2023
CertificateExpirationDate	7/29/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024