10D2013178 CLIA NUMBER - WALGREENS CO

Laboratory Demographics

  • CLIA Code: 10D2013178
  • Facility Name: WALGREENS CO
  • Facility Address: 3770 TAMPA RD
    OLDSMAR, FL
    ZIP 34677
  • Facility Phone: 813 855-7885
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHARLES MINNELLA
  • NPI Number: 1457366692
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2013178
LAB Type Pharmacy
Facility Name WALGREENS CO
Street 3770 TAMPA RD
City OLDSMAR
State FL
ZIP 34677
Phone 813 855-7885
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2025
Certificate Expiration Date 3/3/2027
Facility Type Pharmacy
Lab Director CHARLES MINNELLA

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