10D2013116 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2013116
  • Facility Name: WALGREEN CO
  • Facility Address: 705 1ST ST S
    WINTER HAVEN, FL
    ZIP 33880
  • Facility Phone: 863 294-7487
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BHARGAVI PATEL
  • NPI Number: 1477568640
  • Taxonomy: 333600000X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/13/2025
Certificate Expiration Date 4/12/2027
Facility Type Pharmacy
Lab Director BHARGAVI PATEL

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