10D2012583 CLIA NUMBER - WALGREENS CO

Laboratory Demographics

  • CLIA Code: 10D2012583
  • Facility Name: WALGREENS CO
  • Facility Address: 104 S APOPKA AVE
    INVERNESS, FL
    ZIP 34452
  • Facility Phone: 352 344-8040
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHARLES M. PETROSKY
  • NPI Number: 1053326264
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2012583
LAB Type Pharmacy
Facility Name WALGREENS CO
Street 104 S APOPKA AVE
City INVERNESS
State FL
ZIP 34452
Phone 352 344-8040
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2025
Certificate Expiration Date 3/24/2027
Facility Type Pharmacy
Lab Director CHARLES M. PETROSKY

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