10D2013189 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2013189
  • Facility Name: WALGREEN CO
  • Facility Address: 15602 N DALE MABRY HWY
    TAMPA, FL
    ZIP 33618
  • Facility Phone: 813 264-7722
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHELLE R. SHEPPARD
  • NPI Number: 1770598070
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2013189
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 15602 N DALE MABRY HWY
City TAMPA
State FL
ZIP 33618
Phone 813 264-7722
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2025
Certificate Expiration Date 6/3/2027
Facility Type Pharmacy
Lab Director MICHELLE R. SHEPPARD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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