10D2012578 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2012578
  • Facility Name: WALGREEN CO
  • Facility Address: 310 NE US HWY 19
    CRYSTAL RIVER, FL
    ZIP 34429
  • Facility Phone: 352 563-0966
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNIFER L. MARCEAUX
  • NPI Number: 1518972637
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2012578
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 310 NE US HWY 19
City CRYSTAL RIVER
State FL
ZIP 34429
Phone 352 563-0966
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2025
Certificate Expiration Date 6/30/2027
Facility Type Pharmacy
Lab Director JENNIFER L. MARCEAUX

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