10D2013234 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2013234
  • Facility Name: WALGREEN CO
  • Facility Address: 7767 W IRLO BRONSON MEMORIAL HWY
    KISSIMMEE, FL
    ZIP 34747
  • Facility Phone: 407 390-1701
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DENNIS M. PUSTINGER
  • NPI Number: 1679580757
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2013234
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 7767 W IRLO BRONSON MEMORIAL HWY
City KISSIMMEE
State FL
ZIP 34747
Phone 407 390-1701
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/12/2025
Certificate Expiration Date 9/11/2027
Facility Type Pharmacy
Lab Director DENNIS M. PUSTINGER

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