10D2013116 CLIA NUMBER - WALGREEN CO

Home > CLIA Lookup > 10D2013116

Laboratory Demographics

CLIA Number: 10D2013116

Facility Name: WALGREEN CO

Facility Address:
705 1ST ST S
WINTER HAVEN, FL
ZIP 33880
Get Directions

Facility Phone Number: 863 294-7487

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1477568640

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	10D2013116
LAB Type	Pharmacy
Facility Name	WALGREEN CO
Street	705 1ST ST S
City	WINTER HAVEN
State	FL
ZIP	33880
Phone	863 294-7487
CertificateType	4
CertificateEffectiveDate	4/13/2023
CertificateExpirationDate	4/12/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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