10D2013157 CLIA NUMBER - WALGREEN CO

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Laboratory Demographics

CLIA Number: 10D2013157

Facility Name: WALGREEN CO

Facility Address:
33670 US HWY 19 N
PALM HARBOR, FL
ZIP 34684
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Facility Phone Number: 727 785-7643

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1255347613

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	10D2013157
LAB Type	Pharmacy
Facility Name	WALGREEN CO
Street	33670 US HWY 19 N
City	PALM HARBOR
State	FL
ZIP	34684
Phone	727 785-7643
CertificateType	4
CertificateEffectiveDate	5/25/2023
CertificateExpirationDate	5/24/2025
FacilityType	Waiver

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