10D2013151 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2013151
  • Facility Name: WALGREEN CO
  • Facility Address: 4651 W KENNEDY BLVD
    TAMPA, FL
    ZIP 33609
  • Facility Phone: 813 286-1366
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAMES P. WHITT
  • NPI Number: 1740296144
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2013151
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 4651 W KENNEDY BLVD
City TAMPA
State FL
ZIP 33609
Phone 813 286-1366
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2025
Certificate Expiration Date 4/22/2027
Facility Type Pharmacy
Lab Director JAMES P. WHITT

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