10D2013180 CLIA NUMBER - WALGREENS CO

Laboratory Demographics

  • CLIA Code: 10D2013180
  • Facility Name: WALGREENS CO
  • Facility Address: 12807 US HWY 301
    DADE CITY, FL
    ZIP 33525
  • Facility Phone: 352 567-9606
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GIALAM D. HO
  • NPI Number: 1225043425
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2013180
LAB Type Pharmacy
Facility Name WALGREENS CO
Street 12807 US HWY 301
City DADE CITY
State FL
ZIP 33525
Phone 352 567-9606
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/10/2025
Certificate Expiration Date 5/9/2027
Facility Type Pharmacy
Lab Director GIALAM D. HO

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