10D2013115 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2013115
  • Facility Name: WALGREEN CO
  • Facility Address: 501 HAVENDALE BLVD
    AUBURNDALE, FL
    ZIP 33823
  • Facility Phone: 863 967-7518
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PETER A. JENSEN
  • NPI Number: 1124033329
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2013115
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 501 HAVENDALE BLVD
City AUBURNDALE
State FL
ZIP 33823
Phone 863 967-7518
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2023
Certificate Expiration Date 11/29/2025
Facility Type Pharmacy
Lab Director PETER A. JENSEN

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