10D2012579 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2012579
  • Facility Name: WALGREEN CO
  • Facility Address: 12028 MAJESTIC BLVD
    HUDSON, FL
    ZIP 34667
  • Facility Phone: 727 863-4575
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TAMARA MCCORD
  • NPI Number: 1295740413
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2012579
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 12028 MAJESTIC BLVD
City HUDSON
State FL
ZIP 34667
Phone 727 863-4575
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2025
Certificate Expiration Date 5/11/2027
Facility Type Pharmacy
Lab Director TAMARA MCCORD

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