10D2013232 CLIA NUMBER - WALGREEN CO WALGREENS #05945

Laboratory Demographics

  • CLIA Code: 10D2013232
  • Facility Name: WALGREEN CO WALGREENS #05945
  • Facility Address: 8400 W IRLO BRONSON MEMORIAL HWY
    KISSIMMEE, FL
    ZIP 34747
  • Facility Phone: 407 396-1141
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SAMREEN AYUB
  • NPI Number: 1700891975
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2013232
LAB Type Pharmacy
Facility Name WALGREEN CO WALGREENS #05945
Street 8400 W IRLO BRONSON MEMORIAL HWY
City KISSIMMEE
State FL
ZIP 34747
Phone 407 396-1141
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2024
Certificate Expiration Date 1/11/2026
Facility Type Pharmacy
Lab Director SAMREEN AYUB

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