10D2013157 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2013157
  • Facility Name: WALGREEN CO
  • Facility Address: 33670 US HWY 19 N
    PALM HARBOR, FL
    ZIP 34684
  • Facility Phone: 727 785-7643
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: FREDERICK M. CASALE
  • NPI Number: 1255347613
  • Taxonomy: 333600000X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2023
Certificate Expiration Date 5/24/2025
Facility Type Pharmacy
Lab Director FREDERICK M. CASALE

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This page was last updated on: 3/20/2025