10D2013117 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2013117
  • Facility Name: WALGREEN CO
  • Facility Address: 4340 S FLORIDA AVE
    LAKELAND, FL
    ZIP 33813
  • Facility Phone: 863 644-7549
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SANJAY H. PATEL
  • NPI Number: 1851308837
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2013117
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 4340 S FLORIDA AVE
City LAKELAND
State FL
ZIP 33813
Phone 863 644-7549
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2025
Certificate Expiration Date 9/19/2027
Facility Type Pharmacy
Lab Director SANJAY H. PATEL

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